Tinuolu T Shokunbi, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R160002 Issued in MD

Practice address

6401 New Hampshire Ave Ste 100
Adelphi, MD 20783-3201

Phone

(301) 466-3593

NPI assigned

Oct 4, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Inspire Consulting, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1104546126

  DC, Single Specialty

  Medicare reassignment NPD
• Rosacare Medical and Behavioral Services LLC

  • Family Nurse Practitioner
  • Bowie, MD
  • NPI 1295546174

  DC, Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1601769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601769600000",
    "number": "1033716956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 DANBURY DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213203",
            "telephone_number": "202-907-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 NEW HAMPSHIRE AVE STE 100",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207833201",
            "telephone_number": "301-466-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOKUNBI",
        "first_name": "TINUOLU",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-04",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R160002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Momodu Sheku, LCPC
• Karen Shennette
• Odette Nianh Shey
• Zimtawork Shibabaw
• Yvonne Shienji
• Scott Showalter
• Mark Alan Shulman, M.A., D.C.
• Meryem S Shura
• Susan Sieber
• Sightrite Medical MD LLC

• Family Nurse Practitioner in Adelphi, MD
• Providers in Adelphi, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.