Organization Active NPI

Oyetumilara Abimbola-Peters

Doing business as community service worker

  • Case Manager/Care Coordinator
  • Washington, DC
National Provider Identifier
1093580763
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
OYETUMILARA ABIMBOLA-PETERS
Doing business as
community service worker
Practice address
7826 Eastern Ave NW
Washington, DC 20012-1324
Phone
(202) 722-1777
NPI assigned
Nov 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Oyetumilara Adepeju Abimbola-PetersNPI 1902306871
Title
Case Manager/Care Coordinator
Phone
(240) 421-0776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

7826 Eastern Ave NW
Washington, DC 20012-1324

Mailing address

13608 United LN
Bowie, MD 20720-5416
Phone (202) 722-1777

Other names 1

  • community service worker Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1093580763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13608 UNITED LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207205416",
            "telephone_number": "202-722-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7826 EASTERN AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121324",
            "telephone_number": "202-722-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OYETUMILARA ABIMBOLA-PETERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "ABIMBOLA-PETERS",
        "authorized_official_first_name": "OYETUMILARA",
        "authorized_official_middle_name": "ADEPEJU",
        "authorized_official_title_or_position": "CASE MANAGER/CARE COORDINATOR",
        "authorized_official_telephone_number": "240-421-0776",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "community service worker",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.

Verify at the official NPI Registry.