Oluwafunmilayo Makinde

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

4140 Moore Rd Ste B114
Suwanee, GA 30024-7157

Phone

(678) 866-1468

NPI assigned

Aug 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Breathe Beauty la

  • Prosthetics Case Management
  • Suwanee, GA
  • NPI 1265152383
  NPD Authorized official

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1104544824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1268 AUSTIN THOMAS DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191681",
            "telephone_number": "818-795-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 MOORE RD STE B114",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247157",
            "telephone_number": "678-866-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKINDE",
        "first_name": "OLUWAFUNMILAYO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED SPA",
            "identifier": "460548974",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ali Mahony
• Natalie Mai, RPH
• Annu Maini, RPH
• Naghmeh Majdi, DMD
• Shukri George Makhlouf, M.D.
• Mia Alana Malkin, AUD
• Michelle M Maloney, AUD
• Lana Lvovna Mamut, DMD
• Michael James Mangiarelli, PT, DPT
• Pamela Marie Manos, PHARMD

• Prosthetics Case Management in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Prosthetics Case Management in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.