Active NPI
Oyefunke Abidemi Ogunbanwo
- Chore Provider
- Edmond, OK
National Provider Identifier
1972050474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- License
- L0064819
- Practice address
- 3020 NW 181St St
Edmond, OK 73012-6824 - Phone
- (405) 250-5706
- NPI assigned
- Sep 1, 2016
- 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 |
|---|---|---|---|---|
| Chore Provider | 372500000X | L0064819 | OK | Primary |
Addresses
Primary practice location
3020 NW 181St St
Edmond, OK 73012-6824
Mailing address
13605 Keswick LN
Yukon, OK 73099-4030
Phone (405) 694-1313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L0064819 | Other | OK | LICENSED PRACTICAL NURSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L0064819 | OK | MD | Chore Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1972050474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13605 KESWICK LN",
"city": "YUKON",
"state": "OK",
"postal_code": "730994030",
"telephone_number": "405-694-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 NW 181ST ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730126824",
"telephone_number": "405-250-5706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUNBANWO",
"first_name": "OYEFUNKE",
"middle_name": "ABIDEMI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": "OK",
"license": "L0064819",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PRACTICAL NURSE",
"identifier": "L0064819",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.