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OLIVE TREE MEDICAL SERVICES LLC
NPI 1093522989
Nurse Practitioner in Indianapolis, IN

Active since December 13, 2024
6865 PARKDALE PL, INDIANAPOLIS, IN 46254(317) 440-5342 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2025, Dec 13, 2024 (2 updates tracked since 2024).

About Olive Tree Medical Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLIVE TREE MEDICAL SERVICES LLC (NPI 1093522989) is a healthcare organization registered as a nurse practitioner in Indianapolis, Indiana and active in the NPI registry since December 2024. The organization lists Adebayo Ebenezer Fatoki, Provider, as its authorized official.

NPPES Registry Identity

NPI1093522989
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameOLIVE TREE MEDICAL SERVICES LLC
Location Address6865 PARKDALE PLIndianapolis, IN 46254-5654
Mailing Address6865 Parkdale PlIndianapolis, IN 46254-5654 · (317) 440-5342
Phone(317) 440-5342
Organization SubpartNo
Authorized OfficialAdebayo Ebenezer FatokiProvider · (317) 440-5342
Enumeration DateDecember 13, 2024
Last NPPES UpdateNovember 14, 20252 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
✔ NPI 1093522989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(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.
6865 PARKDALE PL, Indianapolis, IN 46254
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIAMONIQUE GREEN
Behavior Technician
6865 PARKDALE PL
INDIANAPOLIS, IN 46254
Marion County (317) 299-5437
CHINEDU UZOMA MADUAKOLAM MD
Emergency Medicine
6865 PARKDALE PL, SUITE A
INDIANAPOLIS, IN 46254
Marion County (317) 291-1211
THERESA GROTH
Behavior Technician
6865 PARKDALE PL
INDIANAPOLIS, IN 46254
Marion County (317) 299-5437
JILL GRANDE BCBA
Behavior Analyst
6865 PARKDALE PL
INDIANAPOLIS, IN 46254
Marion County (317) 299-5437
KRISTEN KENIMOND BCBA
Behavior Analyst
6865 PARKDALE PL
INDIANAPOLIS, IN 46254
Marion County (317) 299-5437
AMANDA HILLMAN BS, BCABA
Assistant Behavior Analyst
6865 PARKDALE PL
INDIANAPOLIS, IN 46254
Marion County (317) 670-0866
TYKIA SMITHSON
Behavior Technician
6865 PARKDALE PL
INDIANAPOLIS, IN 46254
Marion County (317) 299-5437
MONICA NICHOLE LEWIS
Behavior Analyst
6865 PARKDALE PL
INDIANAPOLIS, IN 46254
Marion County (317) 299-5437

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olive Tree Medical Services LLC's NPI number?

The NPI number for Olive Tree Medical Services LLC is 1093522989. It was assigned to this organization in the NPPES registry on December 13, 2024.

Where is Olive Tree Medical Services LLC located?

Olive Tree Medical Services LLC is located at 6865 Parkdale Pl, Indianapolis, IN 46254. The listed phone number is (317) 440-5342.

What is Olive Tree Medical Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Olive Tree Medical Services LLC was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.