Individual provider Active NPI

Onajomo Violet Bakare, NP

  • Family Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1134574924
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704251975 Issued in MI
Practice address
21865 Winchester St
Southfield, MI 48076-4829
Phone
(313) 989-5358
NPI assigned
Apr 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704251975 MI Primary

Addresses

Primary practice location

21865 Winchester St
Southfield, MI 48076-4829

Mailing address

21865 Winchester St
Southfield, MI 48076-4829
Phone (313) 989-5358

Other names 1

  • Mrs. Onajomo Violet Bakare Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250221001015 MD Order and Referring Only - Nurse Practitioner 3577855410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704251975MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ve Care, Inc PastSince Apr 9, 2018 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1134574924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21865 WINCHESTER ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764829",
            "telephone_number": "313-989-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21865 WINCHESTER ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764829",
            "telephone_number": "313-989-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKARE",
        "first_name": "ONAJOMO",
        "middle_name": "VIOLET",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704251975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ONAJOMO",
            "last_name": "BAKARE",
            "middle_name": "VIOLET",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.