Grace A Oluwadiya, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

183983-30 Issued in WI

Practice address

21335 Signal Hill Plaza
Suite 270
Sterling, VA 20164

Phone

(703) 682-2471

NPI assigned

Mar 13, 2018

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Bluspring Health LLC

  • Multi-Specialty Clinic/Center
  • Sterling, VA
  • NPI 1184154429
  NPD (past)

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520899200000",
    "number": "1962905323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 N RIPLEY ST APT 101",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223045748",
            "telephone_number": "708-378-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21335 SIGNAL HILL PLAZA",
            "address_2": "SUITE 270",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "20164",
            "telephone_number": "703-682-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUWADIYA",
        "first_name": "GRACE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "183983-30",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163W00000X",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "163",
            "identifier": "163W00000X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oganze Homecare and Language Services Inc
• Hyunju Oh
• Jessica Lynn Ohara, RBT
• Anuja Ohri'Parikh, D.M.D.
• Mahta Olfatbahar Khorsandi, PHARMD
• Opl Services, Inc.
• Orthopedic Hand Center P.L.C
• Orthopelvic Physical Therapy
• Zachary Orzell, DPT, PT
• Tyrone Osilesi

• Registered Nurse in Sterling, VA
• Providers in Sterling, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.