Individual provider Active NPI

Olufolawe Olakunbi Banigbe

  • Advanced Practice Midwife
  • Jacksonville, FL
National Provider Identifier
1902722242
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN11049044 Issued in FL
Practice address
3627 University Blvd S Ste 200
Jacksonville, FL 32216-4256
Phone
(904) 256-3200
NPI assigned
Jun 29, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN11049044 FL Primary

Addresses

Primary practice location

3627 University Blvd S Ste 200
Jacksonville, FL 32216-4256

Mailing address

47 Grovewood Dr
Bluffton, SC 29910-4442
Phone (843) 304-1045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

207 Granby Park
Norfolk, VA 23505-4119

3627 University Blvd S
Suite 200
Jacksonville, FL 32216-4256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1782691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1902722242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 GROVEWOOD DR",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104442",
            "telephone_number": "843-304-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 UNIVERSITY BLVD S STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164256",
            "telephone_number": "904-256-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANIGBE",
        "first_name": "OLUFOLAWE",
        "middle_name": "OLAKUNBI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-29",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11049044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.