Lillian Morenike Oduwole, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5431-33 Issued in WI

Practice address

1650 N Farwell Ave
Milwaukee, WI 53202-2331

Phone

(414) 277-5054

NPI assigned

Sep 5, 2013

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

Medicare fee-for-service enrollment

Enrolled in WI

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

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.

• Dove Hydration & Wellness, LLC

  • Family Medicine Physician
  • Milwaukee, WI
  • NPI 1376226464
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1831524180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 N FARWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022331",
            "telephone_number": "414-277-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 N FARWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532022331",
            "telephone_number": "414-277-5054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 W Capitol Dr",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532063328",
            "country_code": "US",
            "telephone_number": "414-727-6320 x2147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3522 W Lisbon Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532081953",
            "country_code": "US",
            "telephone_number": "414-935-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODUWOLE",
        "first_name": "LILLIAN",
        "middle_name": "MORENIKE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "5431-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel William Odell, M.D.
• Chibuzor Emmanuel Odigili
• Alexandra Odin
• Mitchell Odom, M.D.
• Catina M Odum, 15923-130
• Odyssey Healthcare Holding Company (Heartland)
• Jonathan Dean Oeltjen, BSN, RN
• Ashley Oestreich, DNP, APNP
• Sandra Lee Oestreich, RN
• Tia Joann Oestreich, LCSW, SAC-IT

• Nurse Practitioner in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.