Olabisi Yemisi Fajana

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F02181052 Issued in IN

Practice address

8435 Keystone Xing Ste 210
Indianapolis, IN 46240-4357

Phone

(847) 515-1505

NPI assigned

Aug 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aims, LLC

  • Psychiatry Physician
  • Bremen, IN
  • NPI 1376072785
  Medicare reassignment NPD
• Transitions Indiana, LLC

  • Community Based Hospice Care Agency
  • Indianapolis, IN
  • NPI 1376998781
  NPD (past)

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1780164053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 SUNVISTA DR",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8435 KEYSTONE XING STE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462404357",
            "telephone_number": "847-515-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAJANA",
        "first_name": "OLABISI",
        "middle_name": "YEMISI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "F02181052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA NP LICENSE",
            "identifier": "F02181052",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Medical Supplier LLC
• Laura Faith, PHD
• Faithful Caregivers
• Faithful Hands & Touch Home Care
• Faizan Faizee, MD
• Andres Fajardo, MD
• Tokesha Paige Fajardo, FNP
• Olugbenga Gabriel Fajuyigbu
• Mark Alexander Fakhoury, M.D.
• Fal-Meridian, Inc.

• Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.