Breunna Adebanjo, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

520456 Issued in OH

Practice address

7400 Huntington Park Dr
Columbus, OH 43235-5617

Phone

(614) 505-0377

NPI assigned

May 1, 2019

Last updated

Jun 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1760047120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2964 RATIFY BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432073586",
            "telephone_number": "614-256-9278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 HUNTINGTON PARK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355617",
            "telephone_number": "614-505-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBANJO",
        "first_name": "BREUNNA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "520456",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "171024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gyan Kwabena Addo
• Kamel Addo, MD
• Michael Addo
• Shukri A Addo, CNP
• Jane Addy, RN
• Ayomiotan Adebari
• Oluwadamilola Olubukola Adefarati, DO
• Olumide Adegbehingbe
• Shade Mary Adegbehingbe
• Florence A Adegboye, LPN

• Addiction (Substance Use Disorder) Registered Nurse in Columbus, OH
• Providers in Columbus, OH by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.