Active NPI
Olufunmi Victoria Anifowoshe
- Psychiatric/Mental Health Nurse Practitioner
- Owings Mills, MD
National Provider Identifier
1073489837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R200434
- Practice address
- 8 Windermere CT
Owings Mills, MD 21117-6142 - Phone
- (443) 858-9867
- NPI assigned
- Oct 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 Nurse Practitioner | 363LP0808X | R200434 | MD | Primary |
Addresses
Primary practice location
8 Windermere CT
Owings Mills, MD 21117-6142
Mailing address
8 Windermere CT
Owings Mills, MD 21117-6142
Phone (443) 858-9867
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 |
|---|---|---|---|
| R200434 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1073489837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 WINDERMERE CT",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211176142",
"telephone_number": "443-858-9867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 WINDERMERE CT",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211176142",
"telephone_number": "443-858-9867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANIFOWOSHE",
"first_name": "OLUFUNMI",
"middle_name": "VICTORIA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-16",
"last_updated": "2025-10-24",
"certification_date": "2025-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R200434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owings Mills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.