Titilayo Adenike Unegbu

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

2022091446 Issued in MD

Practice address

2021 Cross Church Way
Mitchellville, MD 20721-2398

Phone

(410) 440-8763

NPI assigned

May 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

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.

• Roseu Medical Center, LLC

  • Health Service Clinic/Center
  • Laurel, MD
  • NPI 1528335429

  DC

  Medicare reassignment NPD
• Tlay Health Care Services,Inc.

  • Clinic/Center
  • Mitchellville, MD
  • NPI 1023652781

  DC

  Medicare reassignment

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1285126912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13106 CONTEE MANOR RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213299",
            "telephone_number": "410-440-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 CROSS CHURCH WAY",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207212398",
            "telephone_number": "410-440-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNEGBU",
        "first_name": "TITILAYO",
        "middle_name": "ADENIKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "MDR117409",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "2022091446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "U-521-793-031-832",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tlay Health Care Services,Inc.
• Teresa Tracy, OT
• Trebor Alzheimer's and Senior Support Center, LLC
• Trinity Wholistic Healing Services
• Ruth Tumushabe
• Revia Michelle Veney, CRNP
• Gretchen Vidergar, OT
• Villa Rosa Nursing and Rehabilitation Center LLC
• Villa Rosa Nursing and Rehabilitation Center LLC
• Villa Rosa Nursing Home

• Gerontology Nurse Practitioner in Mitchellville, MD
• Providers in Mitchellville, MD by specialty
• Gerontology Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.