Bukola Shokunbi

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R55659 Issued in ND

Practice address

4150 S Washington St
Grand Forks, ND 58201-3255

Phone

(612) 598-0939

NPI assigned

Sep 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1726876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1962229070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013255",
            "telephone_number": "612-598-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 S WASHINGTON ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013255",
            "telephone_number": "612-598-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOKUNBI",
        "first_name": "BUKOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-21",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ND",
            "license": "R55659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Lynn Sherve, FNP-C
• Heather Michelle Shimek, FNP-C
• Jessica S Shin, MD
• Skyler Hochstein Shockley, PMHNP
• Maridee Dawn Shogren, CNM
• Suzanne Sholes
• Patricia Shook
• Joan Shulind, LPCC
• Brianna Lee Sich
• Robin J Sickels, RDN LRD

• All providers in Grand Forks, ND
• Certified Registered Nurse Anesthetist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.