Individual provider Active NPI

Olivia Jebbeh Willie

  • Military Health Care Provider
  • Reynoldsburg, OH
National Provider Identifier
1982574778
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Health Care ProviderTaxonomy code 171000000X
License
NONE Issued in OH
Practice address
6368 Portsmouth Dr
Reynoldsburg, OH 43068-1946
Phone
(614) 597-1681
NPI assigned
Nov 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 171000000X NONE OH Primary

Addresses

Primary practice location

6368 Portsmouth Dr
Reynoldsburg, OH 43068-1946

Mailing address

6368 Portsmouth Dr
Reynoldsburg, OH 43068-1946
Phone (614) 597-1681

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": "1762473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1982574778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6368 PORTSMOUTH DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430681946",
            "telephone_number": "614-597-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6368 PORTSMOUTH DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430681946",
            "telephone_number": "614-597-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIE",
        "first_name": "OLIVIA",
        "middle_name": "JEBBEH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Military Health Care Provider",
            "state": "OH",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; 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.