Active NPI
Bunmi Segun Fayemi
- Psychiatric/Mental Health Registered Nurse
- Attleboro, MA
National Provider Identifier
1063299956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN74433
- Practice address
- 33 Perry Ave
Attleboro, MA 02703-2417 - Phone
- (508) 455-6200
- NPI assigned
- Sep 13, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN74433 | RI | Primary |
Addresses
Primary practice location
33 Perry Ave
Attleboro, MA 02703-2417
Mailing address
540 York Ave Apt 6
Pawtucket, RI 02861-3469
Phone (401) 580-5235
Other practice location 1
105 Bacon St
Pawtucket, RI 02860-5542
Phone (401) 667-6761
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN74433 | RI | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1063299956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 YORK AVE APT 6",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028613469",
"telephone_number": "401-580-5235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 PERRY AVE",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027032417",
"telephone_number": "508-455-6200"
}
],
"practiceLocations": [
{
"address_1": "105 Bacon St",
"address_purpose": "LOCATION",
"city": "Pawtucket",
"state": "RI",
"postal_code": "028605542",
"country_code": "US",
"telephone_number": "401-667-6761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FAYEMI",
"first_name": "BUNMI",
"middle_name": "SEGUN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-13",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "RI",
"license": "RN74433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Attleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.