Individual provider Active NPI

Folashade Omotoyosi Olukoya

  • Nurse's Aide
  • Hyattsville, MD
National Provider Identifier
1063190296
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
A00180399 Issued in MD
Practice address
934 Atlee Dr
Hyattsville, MD 20785-5961
Phone
(202) 638-9954
NPI assigned
Jul 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X A00180399 MD Primary

Addresses

Primary practice location

934 Atlee Dr
Hyattsville, MD 20785-5961

Mailing address

934 Atlee Drive
Hyattsville, MD 20785
Phone (202) 638-9954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A00180399MDMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1063190296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 ATLEE DRIVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "20785",
            "telephone_number": "202-638-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 ATLEE DR",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207855961",
            "telephone_number": "202-638-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUKOYA",
        "first_name": "FOLASHADE",
        "middle_name": "OMOTOYOSI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MD",
            "license": "A00180399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.