Peace Olubummo, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

345896 Issued in NY

Practice address

317 North St
White Plains, NY 10605-2209

Phone

(914) 597-4062

NPI assigned

Jun 8, 2015

Last updated

Oct 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1316327984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 FENTON WAY",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125337376",
            "telephone_number": "646-579-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 NORTH ST",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106052209",
            "telephone_number": "914-597-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUBUMMO",
        "first_name": "PEACE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Olivo
• Abisola Olojo, CNIM
• Conrad Oluranti Olonimoyo, PMHNP-BC
• Felix Olurotimi Olorife, LPN
• Jess John Olson, PH.D.
• Adelola Olufemi
• Ali M Omar, MD
• Simone Omeally, CF NP
• Omni Health, Shatika James, DNP, NP in Family Health PLLC (Omni Health NP)
• Omni Psychotherapy, LCSW, P.C.

• Family Nurse Practitioner in White Plains, NY
• Providers in White Plains, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.