Individual provider Active NPI

Oluwabunmi M Bamidele, RN, APRN, FNP, PMHNP

  • Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1790358976
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000028533 Issued in TN
Practice address
275 Cumberland BND
Nashville, TN 37228-1805
Phone
(615) 782-6201
NPI assigned
Jul 23, 2021
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X RN0000195960 TN
Family Nurse Practitioner 363LF0000X F07202380 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2024028636 TN
Nurse Practitioner 363L00000X APN0000028533 TN Primary

Addresses

Primary practice location

275 Cumberland BND
Nashville, TN 37228-1805

Mailing address

1615 Shenstone Dr
Smyrna, TN 37167-3598
Phone (323) 337-3122

Other practice location 1

3881 Stewart Lane
Nashville, TN 37243-1499
Phone (615) 741-4734

Other identifiers 1

IdentifierTypeStateIssuer
110732571OtherTNDRIVER'S LICENSE

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address obamidele@teamcenturion.com
Direct Messaging Address obamidele@teamcenturion.com Direct Centurion Healthcare
Direct Messaging Address oluwabunmi.bamidele@mhc-tn.org Direct Mental Health Cooperative, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20250902002233 TN Practitioner - Nurse Practitioner 4385145192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

275 Cumberland BND
Nashville, TN 37228-1805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN0000195960TNMDAdministrator Registered Nurse
APN0000028533TNMDNurse Practitioner
F07202380TNMDFamily Nurse Practitioner
2024028636TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Cooperative, Inc CurrentSince May 18, 2025 Accepting new patients

Locations

1419 Kensington Square Ct
Murfreesboro, TN 37130
Phone (615) 904-6490

1632 Gateway Blvd
Murfreesboro, TN 37129
Phone (615) 904-6490

275 Cumberland Bnd
Nashville, TN 37228
Phone (615) 726-3340

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1790358976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 SHENSTONE DR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673598",
            "telephone_number": "323-337-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 CUMBERLAND BND",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281805",
            "telephone_number": "615-782-6201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3881 Stewart Lane",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372431499",
            "country_code": "US",
            "telephone_number": "615-741-4734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAMIDELE",
        "first_name": "OLUWABUNMI",
        "middle_name": "M",
        "credential": "RN, APRN, FNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TN",
            "license": "RN0000195960",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "F07202380",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "2024028636",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000028533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "110732571",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "obamidele@teamcenturion.com",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "address_1": "3881 Stewarts Ln",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372183302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "obamidele@teamcenturion.com",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "Centurion Healthcare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "3881 Stewarts Ln",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372183302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "oluwabunmi.bamidele@mhc-tn.org",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "Mental Health Cooperative, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "275 Cumberland Bnd",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372281805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.