Olusola Ewebiyi, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP123676 Issued in TX

Practice address

6514 Meadowridge Rd
Elkridge, MD 21075-6115

Phone

(855) 247-8474

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1811071608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S COLUMBUS BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191475510",
            "telephone_number": "215-339-4747",
            "fax_number": "215-339-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6514 MEADOWRIDGE RD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756115",
            "telephone_number": "855-247-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWEBIYI",
        "first_name": "OLUSOLA",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP123676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elkridge Family Dentistry
• Emmanuel Home Health Services, Inc.
• Epic Minds Therapy MD LLC
• Evercare
• Evercare Hospice, Inc.
• Pauline Eze, LCSW-C
• Victoria Ezeji
• Faith Health Group LLC
• Family Dental Wellness Center
• Family Medical Wellness Center LLC

• Family Nurse Practitioner in Elkridge, MD
• Providers in Elkridge, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.