Individual provider Active NPI

Oluwakemi Ogunseye

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1043838949
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R177028 Issued in MD
Practice address
422 W Franklin St Ste 1
Baltimore, MD 21201-1823
Phone
(410) 801-9011
NPI assigned
Jul 8, 2020
Last updated
Jun 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R177028 MD Primary

Addresses

Primary practice location

422 W Franklin St Ste 1
Baltimore, MD 21201-1823

Mailing address

9611 Mason LN
Laurel, MD 20723-1907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20210802002874 MD Practitioner - Nurse Practitioner 1355745118 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
A&E Healthcare Inc Current Accepting new patients
Luminance Support Services Current Accepting new patients
A&E Healthcare Services Inc Past Accepting new patients
A&E Healthcare Services Inc Past Accepting new patients
A&E Healthcare Services Inc Past Accepting new patients
A&E Healthcare Services Inc Past Accepting new patients

Organizations & group practices 8

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": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1043838949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9611 MASON LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207231907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 W FRANKLIN ST STE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011823",
            "telephone_number": "410-801-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNSEYE",
        "first_name": "OLUWAKEMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R177028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.