OMOLARA OLADUNNI AYODELE (NPI# 1831582030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831582030 |
Entity Type | Individual |
Full Name | OMOLARA OLADUNNI AYODELE |
Other Name | OMOLARA OLADUNNI AYODELE |
Practice Address |
1900 E Main St Danville IL 61832-5100 |
Practice Telephone | 2175543000 |
Mailing Telephone | 2175543000 |
Enumeration Date | 2015-03-12 |
Last Update Date | 2019-03-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 014.361780 | IL | Nursing Service Providers |
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209.012588 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
209.012588 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1900 E MAIN ST |
City | DANVILLE |
State | IL |
Zip Code | 61832-5100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356349799 | Inwha Kim | Internal Medicine | 1900 E Main St, Danville, IL 61832-5100 | 2005-07-11 |
1033719208 | Shanon Imena Hardin | Prosthetist | 1900 E Main St, Danville, IL 61832-5100 | 2020-10-27 |
1952918435 | Nell Marie Aschenbrener | Social Worker | 1900 E Main St, Danville, IL 61832-5100 | 2020-09-28 |
1720693625 | Konrad E Biedron | Psychologist | 1900 E Main St, Danville, IL 61832-5100 | 2020-09-09 |
1639783244 | Edward Michael Maher IIi | Peer Specialist | 1900 E Main St, Danville, IL 61832-5100 | 2020-09-01 |
1114535747 | Kristina Singh Gill | Pharmacist | 1900 E Main St, Danville, IL 61832-5100 | 2020-07-20 |
1609493303 | Brandy Mysliwiec | Psychologist | 1900 E Main St, Danville, IL 61832-5100 | 2020-06-29 |
1750907796 | John Luis Mclaughlin | Counselor | 1900 E Main St, Danville, IL 61832-5198 | 2020-06-24 |
1023633310 | Thomas Nguyen | Social Worker | 1900 E Main St, Danville, IL 61832-5100 | 2020-06-11 |
1164047775 | Jane Mary Lakayil | Optometrist | 1900 E Main St, Danville, IL 61832-5100 | 2020-06-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316593957 | Margaret Jean Heath | Technician | 310 N North St, Danville, IL 61832 | 2019-08-09 |
1215494620 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 3653 N Vermilion Dr, Danville, IL 61832 | 2019-02-22 |
1003263104 | Bayview Family Clinic | Nurse Practitioner | 3595 N Vermillion Street, Danville, IL 61832 | 2016-05-18 |
1194179499 | Kinisha Vasser | Social Worker | 1900 E. Main Steet, Danville, IL 61832 | 2016-04-22 |
1023497237 | Alpha Omega Counseling Services | Community/Behavioral Health | 120 N Vermilion, Danville, IL 61832 | 2015-05-20 |
1437557568 | Terri D. Dunn | Hearing Instrument Specialist | 733 N. Logan #4, Audibel Hearing Aids, Danville, IL 61832 | 2014-12-05 |
1518361682 | Rosemarie Renee Eck | Nurse Practitioner | 1900 E Main St, Bldg 101-171, Va Illiana Health Care System, Danville, IL 61832 | 2014-10-17 |
1497181747 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3649 N. Vermillion St., Danville, IL 61832 | 2013-09-18 |
1598000770 | Bayview Family Clinic Ltd | Health Maintenance Organization | 405 N. Sheridan St., Danville, IL 61832 | 2012-11-29 |
1992052666 | Katharine Lorraine Lerner | Pharmacist | 3649 N Vermilion St, Danville, IL 61832 | 2012-08-13 |
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Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891358222 | Kelly Jo Erke | Nurse Practitioner | 20830 N 1970 East Rd, Danville, IL 61834-6228 | 2019-04-22 |
1902424880 | Nakiasha Scheeler | Nurse Practitioner | 100 N Academy Ave, Danville, PA 17822-9800 | 2020-07-08 |
1073031100 | Katie Wilson | Nurse Practitioner | 1900 E Main St, Danville, IL 61832-5100 | 2017-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316553472 | Nicholas Johnson | Nurse Practitioner | 8455 S Luella Ave, Chicago, IL 60617-1953 | 2020-09-23 |
1710592175 | Mary Maloney | Nurse Practitioner | 348 Westglen Dr, Glen Carbon, IL 62034-1002 | 2020-09-12 |
1134738800 | Benjamin Scott Hulfachor | Nurse Practitioner | 4143 N Central Park Ave Apt G, Chicago, IL 60618-2062 | 2020-07-28 |
1083222368 | Izolda Rosario | Nurse Practitioner | 501 W Lake St Ste 207, Elmhurst, IL 60126-1419 | 2020-07-22 |
1043832785 | Melanie Glander | Nurse Practitioner | 18357 Cowing Ct, Homewood, IL 60430-3332 | 2020-05-16 |
1699306902 | Ife Muyiwa-ojo | Nurse Practitioner | 729 E Carpenter St, Springfield, IL 62702-5321 | 2020-01-27 |
1962040345 | Doctors Orders Inc. | Nurse Practitioner | 5113 S Harper Ave Ste 2, Chicago, IL 60615-4119 | 2019-12-16 |
1801455993 | Parul Arora | Nurse Practitioner | 1717 W Congress Pkwy Ste 1125, Chicago, IL 60612-3809 | 2019-06-11 |
1689136319 | Brittany Sue Borkowski | Nurse Practitioner | 5841 S Maryland Ave # W700, Chicago, IL 60637-1443 | 2019-04-02 |
1770041832 | Enriqueta R Gomez | Nurse Practitioner | 900 Technology Way Ste 280, Libertyville, IL 60048-5364 | 2019-03-07 |
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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.