Individual provider Active NPI

Olusola Joseph

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1922470723
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
224027 Issued in NC
Practice address
9510 University City Blvd Ste 102
Charlotte, NC 28213-3997
Phone
(704) 833-8037
NPI assigned
Oct 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5008088 NC
Family Nurse Practitioner 363LF0000X 224027 NC Primary

Addresses

Primary practice location

9510 University City Blvd Ste 102
Charlotte, NC 28213-3997

Mailing address

15107 Skypark Dr
Huntersville, NC 28078-4321
Phone (704) 503-5820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20160629002826 NC Practitioner - Nurse Practitioner 5193017705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9510 University City Blvd
Suite 102
Charlotte, NC 28213-3997
Phone (704) 833-8037

Hospital & facility affiliations

  • Carolinas Medical Center-Northeast Hospital, Concord, NC, CCN 340001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
224027NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Clinic PA CurrentSince Apr 17, 2024 Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. Past Accepting new patients

Locations

9510 University City Blvd
Ste 102
Charlotte, NC 28213
Phone (704) 833-8037

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJBDD/Endpoint/IHJBDD

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1922470723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15107 SKYPARK DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784321",
            "telephone_number": "704-503-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 UNIVERSITY CITY BLVD STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282133997",
            "telephone_number": "704-833-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "OLUSOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008088",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "224027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.