Active NPI
Tolulope Oluwayemisi Fashola, M.D
- Student in an Organized Health Care Education/Training Program
- Hartford, CT
National Provider Identifier
1952220659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 131 Coventry Street, Burgdorf Clinic
2ND Floor, Hartford, CT 06112
Hartford, CT 06112 - Phone
- (860) 714-3690
- Fax
- (860) 714-8541
- NPI assigned
- Jul 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
131 Coventry Street, Burgdorf Clinic
2ND Floor, Hartford, CT 06112
Hartford, CT 06112
Mailing address
131 Coventry Street, Burgdorf Clinic
2ND Floor, Hartford, CT 06112
Hartford, CT 06112
Phone (860) 714-3690
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1952220659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 COVENTRY STREET, BURGDORF CLINIC",
"address_2": "2ND FLOOR, HARTFORD, CT 06112",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06112",
"telephone_number": "860-714-3690",
"fax_number": "860-714-8541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 COVENTRY STREET, BURGDORF CLINIC",
"address_2": "2ND FLOOR, HARTFORD, CT 06112",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06112",
"telephone_number": "860-714-3690",
"fax_number": "860-714-8541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASHOLA",
"first_name": "TOLULOPE",
"middle_name": "OLUWAYEMISI",
"name_prefix": "Miss",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-15",
"last_updated": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.