OLUBUKOLA AWE (NPI# 1104114149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104114149 |
| Entity Type | Individual |
| Full Name | OLUBUKOLA AWE |
| Credential | NP |
| Practice Address |
140 Grandview Ave Ste L01 Waterbury CT 06708-2500 |
| Mailing Address |
19201 E Valley View Pkwy Ste G Independence MO 64055-6910 |
| Practice Telephone | 2035744187 |
| Practice Fax Number | 2035752153 |
| Mailing Telephone | 8162542552 |
| Mailing Fax Number | 8168334155 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 2011009356 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19201 E Valley View Pkwy, Ste G, Independence, MO 640556910 | 8162542552 | 8168334155 |
| Street Address |
140 GRANDVIEW AVE STE L01 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346661972 | Yolima Salazar | Internal Medicine | 140 Grandview Ave Ste L01, Waterbury, CT 06708-2500 | 2013-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255972964 | Geeta Sharma | Nurse Practitioner | 1389 W Main St Ste 224, Waterbury, CT 06708-3104 | 2019-10-03 |
| 1255972022 | Naugatuck Valley Counseling and Med Management | Nurse Practitioner | 276 Highland Ave Ste 2, Waterbury, CT 06708-3022 | 2019-10-03 |
| 1598318206 | Kirsten P. Fitzgerald | Nurse Practitioner | 21 W Main St Fl Place3, Waterbury, CT 06702-2013 | 2019-07-22 |
| 1346749884 | Novelyn Culbengan Cosmiano | Nurse Practitioner | 276 Highland Ave Ste 2a1, Waterbury, CT 06708-3022 | 2018-02-11 |
| 1437508264 | Faith Hudson | Nurse Practitioner | 68 Alyce Ter, Waterbury, CT 06708-1567 | 2016-06-13 |
| 1821405127 | Brandon Pervis Sr. | Nurse Practitioner | 558 Chase Ave Ste 9, Waterbury, CT 06704-1947 | 2014-07-18 |
| 1912909524 | Eileen Pond Levine | Nurse Practitioner | 455 Chase Pkwy Fl 3, Waterbury Hospital, Waterbury, CT 06708-3352 | 2005-08-12 |
| 1992706832 | Christina Baden | Nurse Practitioner | 77 Woodlawn Ter, Waterbury, CT 06710-1721 | 2005-08-02 |
| 1124663653 | Adrienne T Lofton | Nurse Practitioner | 133 Scovill St Ste 101, Waterbury, CT 06706-1127 | 2019-11-07 |
| 1437793171 | Dylan J Plante | Nurse Practitioner | 160 Robbins Street, Waterbury, CT 06708-2652 | 2019-11-06 |
| Find all providers in WATERBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.