Opeolu Fawole

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN.CNP.0029316 Issued in OH

Practice address

10999 Reed Hartman Hwy Ste 210
Blue Ash, OH 45242-8301

Phone

(678) 855-1226

NPI assigned

May 23, 2016

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

Enrolled in OH

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.

• Anovycare Home Health Agency LLC

  • In Home Supportive Care Agency
  • Blue Ash, OH
  • NPI 1982098893
  NPD Authorized official
• Community Care Health Network LLC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  OH

  Medicare reassignment

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1831546472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10999 REED HARTMAN HWY STE 210",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452428301",
            "telephone_number": "678-855-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10999 REED HARTMAN HWY STE 210",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452428301",
            "telephone_number": "678-855-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAWOLE",
        "first_name": "OPEOLU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "364055",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0029316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Fabrizi, SW-T
• Carla M Faison, LPCC
• Alexander J Faller, PA-S
• Crystal Farrell, FNP
• Fatherhood Revisited
• Mary B Feldmann, LPCC, LICDC
• Melonie Dyanne Feldstein, LPCC/S, RPT-S
• Linda Fender, O.D.
• Shawn Ferrell-Hillis, LPCC
• Audrey Eleanor Field, CNP

• Nurse Practitioner in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.