Omolola Olubunmi Famoriyo

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

MT0077871 Issued in MD

Practice address

2901 Valerian LN
Upper Marlboro, MD 20774-9215

Phone

(240) 485-8839

NPI assigned

Nov 5, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1306190871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200115860",
            "telephone_number": "240-485-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 VALERIAN LN",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207749215",
            "telephone_number": "240-485-8839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAMORIYO",
        "first_name": "OMOLOLA",
        "middle_name": "OLUBUNMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "MT0077871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Care Health Services LLC
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• Family Orthodontics of Maryland LLC
• Monick Fanba
• Evelynn Delayne Farley
• Folake Zainab Fatolu
• Oluwatobi Fatunmbi
• Takirra Faulkner

• Home Health Registered Nurse in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Home Health Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.