Victoria Olufunmilayo Ajayi, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R125591 Issued in MD

Practice address

8713 Harford Rd
Parkville, MD 21234-4650

Phone

(443) 636-6002

Fax

(443) 636-6002

NPI assigned

Apr 2, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

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.

• Matclinic Physicians Practice Group LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Dundalk, MD
  • NPI 1104375294

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Redeem Healthcare and Medical Systems 11 Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1083351134
  Medicare reassignment NPD
• Healthy Option Clinic

  • Family Nurse Practitioner
  • Parkville, MD
  • NPI 1275134934
  NPD Authorized official
• Matclinic Physicians Practice Group LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Laurel, MD
  • NPI 1194217091

  Psychiatric/Mental Health

  NPD
• Matclinic Physicians Practice Group LLC

  • Addiction (Substance Use Disorder) Counselor
  • Dundalk, MD
  • NPI 1801448360
  NPD
• Redeem Healthcare and Medical Systems 11 Inc

  • Methadone Clinic
  • Baltimore, MD
  • NPI 1588387013
  NPD

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1194221788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EGYPT FARMS RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175043",
            "telephone_number": "443-538-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8713 HARFORD RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212344650",
            "telephone_number": "443-636-6002",
            "fax_number": "443-636-6002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "157 Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215022472",
            "country_code": "US",
            "telephone_number": "301-722-3215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJAYI",
        "first_name": "VICTORIA",
        "middle_name": "OLUFUNMILAYO",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R125591",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R125591",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R125591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Cloudprotection",
            "affiliation": "N",
            "endpointDescription": "API",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Egypt Farms Rd",
            "city": "Owings Mills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211175043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Agape Mental Health Services
• Agape Mental Health Services
• Ai Community Initiative, Inc
• Aim High Inc.
• Aj Counseling and Consulting
• Kunal Ajmera
• Akila Cares, LLC
• Stephen Olubola Akinmutimi
• Adedayo Comfort Alalade, CRNA
• Theresa Alexander, CCC-SLP

• Family Nurse Practitioner in Parkville, MD
• Providers in Parkville, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.