Individual provider Active NPI

Titilola Oluwadara Babatunde

  • Student in an Organized Health Care Education/Training Program
  • Winterville, NC
National Provider Identifier
1942985395
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1406 Trafalgar Rd
Winterville, NC 28590-9777
Phone
(305) 972-5529
NPI assigned
Jun 21, 2023
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

1406 Trafalgar Rd
Winterville, NC 28590-9777

Mailing address

1406 Trafalgar Rd
Winterville, NC 28590-9777
Phone (305) 972-5529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627001596 GA Order and Referring Only - General SurgeryPractitioner - General Surgery 8820532104

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": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1942985395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 TRAFALGAR RD",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909777",
            "telephone_number": "305-972-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 TRAFALGAR RD",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909777",
            "telephone_number": "305-972-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABATUNDE",
        "first_name": "TITILOLA",
        "middle_name": "OLUWADARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterville, NC

Sources for this page

Verify at the official NPI Registry.