Active NPI
Bilikis Ogunniyi, CRNP
- Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1093495251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R225900
- Practice address
- 733 W 40TH St Ste LL10
Baltimore, MD 21211-2112 - Phone
- (410) 243-8632
- NPI assigned
- Jul 24, 2023
- Last updated
- Nov 2, 2024
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R225900 | MD | Primary |
Addresses
Primary practice location
733 W 40TH St Ste LL10
Baltimore, MD 21211-2112
Mailing address
661 Lakemont Dr
Glen Burnie, MD 21060-8793
Phone (410) 979-2452
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R225900 | MD | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Time Pediatrics, LLC | Current | Accepting new patients |
Locations
711 W 40th St
Ste 438
Baltimore, MD 21211
Phone (410) 243-8632
733 W 40th St
Ste LL10
Baltimore, MD 21211
Phone (410) 243-8632
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Baltimore, MD
- NPI 1770291692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730505600000",
"number": "1093495251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 LAKEMONT DR",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210608793",
"telephone_number": "410-979-2452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 W 40TH ST STE LL10",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212112112",
"telephone_number": "410-243-8632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGUNNIYI",
"first_name": "BILIKIS",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-24",
"last_updated": "2024-11-02",
"certification_date": "2024-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R225900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.