Individual provider Active NPI

Lateefat Ebudola Odubote, DNP. ARNP, FNP-BC

  • Family Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1922842525
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A182165 Issued in IA
Practice address
7700 Hickman Rd
Des Moines, IA 50324-4512
Phone
(515) 207-6251
NPI assigned
Jun 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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 A182165 IA Primary

Addresses

Primary practice location

7700 Hickman Rd
Des Moines, IA 50324-4512

Mailing address

2837 SW Plaza LN
Ankeny, IA 50023-7286
Phone (404) 839-6746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20241219003072 IA Practitioner - Nurse Practitioner 3678000338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Karefirst Iowa PC CurrentSince Dec 13, 2024 Accepting new patients
Provider Partners Care Management LP CurrentSince Mar 6, 2025 Accepting new patients

Locations

2730 Crow Creek Rd
Bettendorf, IA 52722
Phone (563) 332-7463

13435 University Ave
Ste 500
Clive, IA 50325

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

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.

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1922842525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 SW PLAZA LN",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237286",
            "telephone_number": "404-839-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 HICKMAN RD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503244512",
            "telephone_number": "515-207-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUBOTE",
        "first_name": "LATEEFAT",
        "middle_name": "EBUDOLA",
        "credential": "DNP. ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A182165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.