Individual provider Active NPI

Saidat Abosede Oluwatuyi, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1174226682
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP1050197 Issued in DC
Practice address
702 15TH St NE
Washington, DC 20002-4508
Phone
(301) 272-0788
Fax
(202) 847-3209
NPI assigned
Mar 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP1050197 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP1050197 DC Primary

Addresses

Primary practice location

702 15TH St NE
Washington, DC 20002-4508

Mailing address

702 15TH St NE
Washington, DC 20002-4508
Phone (240) 696-9923

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

State licenses

LicenseStateTypeSpecialty
NP1050197DCMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBHAED/Endpoint/DBHAED

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1174226682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 15TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024508",
            "telephone_number": "240-696-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 15TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024508",
            "telephone_number": "301-272-0788",
            "fax_number": "202-847-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUWATUYI",
        "first_name": "SAIDAT",
        "middle_name": "ABOSEDE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "NP1050197",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1050197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 10, 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.

Verify at the official NPI Registry.