Olatokunbo Gbadebo, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

LG 0000454 Issued in DE

Practice address

665 S Carter Rd Unit 2
Smyrna, DE 19977-7728

Phone

(302) 467-2646

Fax

(302) 467-2857

NPI assigned

Jul 25, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DE, MA, TX3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Proficient Mind and Wellness Clinic LLC

  • Health Service Clinic/Center
  • Smyrna, DE
  • NPI 1780447102
  Medicare reassignment Authorized official
• Community Care Health Network LLC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  DE

  Medicare reassignment NPD
• Matrix Medical Plus

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1376973461

  MA

  Medicare reassignment NPD
• Proficient Mind and Wellness Clinic LLC

  • Family Medicine Physician
  • Newark, DE
  • NPI 1811849581
  NPD Authorized official
• Regional Physician Services of Texas, P.a.

  • Nurse Practitioner
  • Abilene, TX
  • NPI 1043529944
  Medicare reassignment

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1942588967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E PEMBROOKE DR",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199774004",
            "telephone_number": "302-981-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 S CARTER RD UNIT 2",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199777728",
            "telephone_number": "302-467-2646",
            "fax_number": "302-467-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBADEBO",
        "first_name": "OLATOKUNBO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "LG-0000454",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "DE",
            "license": "LG-0000454",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG 0000454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Fritzges, PH.D.
• John B Fruits, MS, LCPC, NCC
• Bo Fu, DO
• Rakheti Garrett-Mills, RBT
• Gateway Foundation Inc.
• Michael G Giambertone, D.C.
• Clinton Earl Glass Sr., P.A.
• Lori Glass
• Candace A Glaviano, LPCMH, CCDP-D, NCC
• Sandra Gloss

• Family Nurse Practitioner in Smyrna, DE
• Providers in Smyrna, DE by specialty
• Family Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.