Individual provider Active NPI

Oluyemisi A Okudele, FNP - C

  • Family Nurse Practitioner
  • Middletown, DE
National Provider Identifier
1881146702
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000929 Issued in DE
Practice address
11 Little Cir
Middletown, DE 19709-7956
Phone
(302) 897-6116
NPI assigned
Oct 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0000929 DE Primary

Addresses

Primary practice location

11 Little Cir
Middletown, DE 19709-7956

Mailing address

11 Little Cir
Middletown, DE 19709-7956
Phone (302) 897-6116

Other identifiers 1

IdentifierTypeStateIssuer
LG - 0000929OtherDESTATE NP LIC NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LG-0000929DEMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1881146702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LITTLE CIR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197097956",
            "telephone_number": "302-897-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LITTLE CIR",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197097956",
            "telephone_number": "302-897-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUDELE",
        "first_name": "OLUYEMISI",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "FNP - C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE NP LIC NUMBER",
            "identifier": "LG - 0000929",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.