Active NPI
Yetunde Precious Rotimi, MSN, FNP-BC, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Lanham, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R205788
- Practice address
- 7404 Executive PL Ste 400L2
Lanham, MD 20706-2268 - Phone
- (240) 647-5702
- Fax
- (240) 433-3269
- NPI assigned
- Sep 20, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R205788 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R205788 | MD | Primary |
Addresses
Primary practice location
7404 Executive PL Ste 400L2
Lanham, MD 20706-2268
Mailing address
7404 Executive PL Ste 400L2
Lanham, MD 20706-2268
Phone (240) 647-5702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R205788 | Other | MD | MD RN NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7404 Executive PL
Lanham, MD 20706-2268
Phone (240) 647-5702
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R205788 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Opollo Health and Wellness LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
7404 Executive Pl
Ste 400
Lanham, MD 20706
Phone (240) 639-4430
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lanham, MD
- NPI 1083393227
DC
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
DC, Psychiatric/Mental Health
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1083162960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7404 EXECUTIVE PL STE 400L2",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062268",
"telephone_number": "240-647-5702",
"fax_number": "240-433-3269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7404 EXECUTIVE PL STE 400L2",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062268",
"telephone_number": "240-647-5702",
"fax_number": "240-433-3269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTIMI",
"first_name": "YETUNDE",
"middle_name": "PRECIOUS",
"credential": "MSN, FNP-BC, PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-20",
"last_updated": "2024-08-06",
"certification_date": "2024-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R205788",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R205788",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD RN NUMBER",
"identifier": "R205788",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.