Individual provider Active NPI

Olubunmi Fajuyigbe, FNP

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1043655137
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R182651 Issued in MD
Practice address
4515 Edson PL NE
Washington, DC 20019
Phone
(202) 748-5430
Fax
(202) 544-3783
NPI assigned
May 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP1054080 DC
Family Nurse Practitioner 363LF0000X R182651 MD Primary

Addresses

Primary practice location

4515 Edson PL NE
Washington, DC 20019

Mailing address

1100 New Jersey Ave SE Ste 500
Washington, DC 20003-3326
Phone (202) 715-7900

Other practice location 1

6095 Marshalee Dr
Elkridge, MD 21075-6053
Phone (240) 565-2035

Other practice location 2

6095 Marshalee Dr
Elkridge, MD 21075-6053
Phone (240) 565-2035

Other names 1

  • Olubunmi Akinsanya Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130618000501 DC Practitioner - Nurse Practitioner 9436398757 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R182651MDMDFamily Nurse Practitioner
NP1054080DCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care, Inc. CurrentSince Sep 9, 2019 Accepting new patients
Unity Health Care Inc. CurrentSince Sep 9, 2019 Accepting new patients
Pinnacle Healthcare Services, LLC CurrentSince Jun 1, 2024 Accepting new patients
M Medical Group, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Kurup Wound Care, Inc. CurrentSince Jul 1, 2019 Accepting new patients
M Medical Group, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Breaking Silos in Medicine LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

1100 New Jersey Ave SE
Ste 500
Washington, DC 20003
Phone (202) 279-1817

4515 Edson Pl NE
Washington, DC 20019
Phone (202) 396-8117

2478 Alabama Ave SE
Washington, DC 20020
Phone (202) 816-9448

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

900 Van Buren St
Annapolis, MD 21403
Phone (301) 933-2500

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

1835 University Blvd E
Ste 208
Hyattsville, MD 20783
Phone (301) 445-3501

4922 Lasalle Rd
Hyattsville, MD 20782
Phone (301) 445-3501

4660 Kenmore Ave
Ste 200
Alexandria, VA 22304
Phone (336) 624-7164

Interoperability endpoints

  • Direct secure messaging: olubunmi.fajuyigbe.1@8042.direct.athenahealth.com

Organizations & group practices 7

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": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1043655137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NEW JERSEY AVE SE STE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033326",
            "telephone_number": "202-715-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 EDSON PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20019",
            "telephone_number": "202-748-5430",
            "fax_number": "202-544-3783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6095 Marshalee Dr",
            "address_purpose": "LOCATION",
            "city": "Elkridge",
            "state": "MD",
            "postal_code": "210756053",
            "country_code": "US",
            "telephone_number": "240-565-2035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6095 Marshalee Dr",
            "address_purpose": "LOCATION",
            "city": "Elkridge",
            "state": "MD",
            "postal_code": "210756053",
            "country_code": "US",
            "telephone_number": "240-565-2035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAJUYIGBE",
        "first_name": "OLUBUNMI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1054080",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R182651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUBUNMI",
            "last_name": "AKINSANYA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.