Bosede Fatusin

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1799 Sea Pine Cir
Severn, MD 21144-1144

Phone

(240) 565-9374

NPI assigned

Jul 31, 2018

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2018.

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1003394255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 SEA PINE CIR",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211441144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 SEA PINE CIR",
            "city": "SEVERN",
            "state": "MD",
            "postal_code": "211441144",
            "telephone_number": "240-565-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATUSIN",
        "first_name": "BOSEDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afia Esther Ewoo, CRNP
• Violet Fadimatou
• Aimee Fadio Koumetio Epse Simo
• Gregory Oluremi Fakorede
• Oluwatoyin Esther Falana, MSN, APRN, AGPCNP-BC
• Fello Inc
• Mari Fernandez
• Edwin Z Freeman
• Marisa S Garcia Faust, PA C
• William J Gaurin, OTR/L

• All providers in Severn, MD
• Personal Care Attendant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.