Pinnacle Family Care Practice

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PINNACLE FAMILY CARE PRACTICE

Practice address

5835 York Rd
Baltimore, MD 21212-3612

Phone

(443) 912-5077

Fax

(410) 835-7865

NPI assigned

Feb 18, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Adenike A. Popoola, CRNPNPI 1750054508

Title

Managing Director

Phone

(443) 527-1497

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Pinnacle Family Care Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25875/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adenike Abiodun Popoola

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1750054508
  Medicare reassignment NPD Authorized official
• Memory Maunde, NP

  • Adult Health Nurse Practitioner
  • Owings Mills, MD
  • NPI 1548193782
  NPD (past)

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667692800000",
    "number": "1053066936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10220 S DOLFIELD RD STE 105",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173660",
            "telephone_number": "443-912-5077",
            "fax_number": "410-835-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 YORK RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212123612",
            "telephone_number": "443-912-5077",
            "fax_number": "410-835-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE FAMILY CARE PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-11-06",
        "certification_date": "2022-11-06",
        "status": "A",
        "authorized_official_last_name": "POPOOLA",
        "authorized_official_first_name": "ADENIKE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "443-527-1497",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "622039800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY MEDICINE",
            "identifier": "R224315",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Family Care Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sally Mae Pinkstaff, M.D.
• Edward Pinkus
• Howard M Pinn, PHD
• Pinnacle Care Resources Corporation
• Pinnacle Diabetes Management LLC
• Pinnacle Health & Wellness
• Pinnacle Pathways LLC
• Monica Pinning, M.S. CCC-SLP
• Steven Lee Pinson, O.D., PA
• Brian Pinto, PHARM.D.

• Family Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, 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 Nov 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.