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

Omolola Beaird

Individual provider Primary Care Nurse Practitioner · NPI 1558960179

Omolola Beaird is a Nurse Practitioner in Novi, Michigan. Qualified in 2019, 7 years ago. Practices with Theoria Medical, a 342-clinician group and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
7
Licensed in
IN, MI
In the registry since
2020
Specialties on file
2

Practice location Address checks out

41800 W 11 Mile Rd Ste 109
Novi, MI 48375-1818
Phone: (248) 660-1220
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 4704298788 (MI)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 28207413A (IN)

Record details

NPI number1558960179
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 24, 2020
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025
Mailing addressPo Box 746720, Atlanta, GA 30374-6720

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Theoria Medical — 342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Novi