Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Oluwatayo Edwards

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1265148753

Oluwatayo Edwards is a Nurse Practitioner in New Haven, Connecticut. Qualified in 2022, 4 years ago. Practices with Intercommunity Inc, a 37-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
4
Licensed in
CT
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

20 York St
New Haven, CT 06510-3220
Phone: (203) 688-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11662 (CT)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 145691 (CT)

Record details

NPI number1265148753
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 27, 2023
Last updated in NPPESNovember 14, 2023
Certification dateNovember 14, 2023
Mailing address20 York St, New Haven, CT 06510-3202

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Intercommunity Inc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in New Haven