Active NPI
Olayinka S Lawal, HHA
- Home Health Aide
- Bowie, MD
National Provider Identifier
1063877330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA11663
- Practice address
- 4110 Lavender LN
Bowie, MD 20720-4284 - Phone
- (202) 394-9920
- NPI assigned
- Dec 30, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA11663 | DC | Primary |
Addresses
Primary practice location
4110 Lavender LN
Bowie, MD 20720-4284
Mailing address
4110 Lavender LN
Bowie, MD 20720-4284
Phone (202) 394-9920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47605029700 | Medicaid | MD |
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 |
|---|---|---|---|
| HHA11663 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1063877330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4110 LAVENDER LN",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204284",
"telephone_number": "202-394-9920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4110 LAVENDER LN",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204284",
"telephone_number": "202-394-9920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWAL",
"first_name": "OLAYINKA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "HHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-30",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA11663",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47605029700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.