Individual provider Active NPI

Mauryn Olodun

  • Home Health Registered Nurse
  • Washington, DC
National Provider Identifier
1003224106
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN961688 Issued in DC
Practice address
6120 Kansas Ave NE
Washington, DC 20011-1531
Phone
(202) 722-7776
NPI assigned
Aug 1, 2014
Last updated
Aug 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN961688 DC Primary

Addresses

Primary practice location

6120 Kansas Ave NE
Washington, DC 20011-1531

Mailing address

6120 Kansas Ave NE
Northwest
Washington, DC 20011-1531
Phone (202) 772-7776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN961688DCMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
JD Nursing Management Inc. Past Accepting new patients
JD Nursing & Management Ser Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406851200000",
    "number": "1003224106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 KANSAS AVE NE",
            "address_2": "NORTHWEST",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111531",
            "telephone_number": "202-772-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 KANSAS AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111531",
            "telephone_number": "202-722-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLODUN",
        "first_name": "MAURYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "DC",
            "license": "RN961688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.