Olutomi Dosunmu

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

LG-0011729 Issued in DE

Practice address

4001 Miller Rd Ste 1
Wilmington, DE 19802-1961

Phone

(302) 407-5222

NPI assigned

Sep 14, 2021

Last updated

Sep 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in DE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: olutomi.dosunmu.1@24435.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Precision Care & Wellness, LLC

  dba Lavish Wellness and Aesthetics

  • Primary Care Clinic/Center
  • Wilmington, DE
  • NPI 1285191494
  Medicare reassignment NPD

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1285304915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 DUNBAR RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 MILLER RD STE 1",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198021961",
            "telephone_number": "302-407-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSUNMU",
        "first_name": "OLUTOMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swanand Dorle
• Alfred T. Dorsey, MD
• Lavante Dorsey, LCSW
• Morgan Dorsey, DMD
• Maria Dos Santos, MD
• Dougherty Dental Solutions
• Christopher Michael Dougherty, PT
• Deborah Dougherty, CRNP
• Jason A Dougherty, PTA
• John W Dougherty III, DO

• Family Nurse Practitioner in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Family Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.