Funmilade Oladimeji

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

211765 Issued in GA

Practice address

575 Oakside PL
Acworth, GA 30102-8812

Phone

(770) 241-8091

NPI assigned

Sep 2, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567382400000",
    "number": "1154979292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 OAKSIDE PL",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301028812",
            "telephone_number": "770-241-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 OAKSIDE PL",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301028812",
            "telephone_number": "770-241-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLADIMEJI",
        "first_name": "FUNMILADE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-02",
        "last_updated": "2019-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "211765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayleigh Oesterle, OTD, OTR/L
• Dominica Chinyere Ogbuagu
• Kingsley Ogbuagu
• Mary Margaret Okelley
• Osagie Osarume Okundaye, MD
• Olubukola Olotu
• Oneopto Ga 1 PLLC
• Evelyn Onunka, NP
• Dana Opsahl, RBT
• Luis Orellana Solis

• Psychiatric/Mental Health Nurse Practitioner in Acworth, GA
• Providers in Acworth, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2019; 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.