Organization Active NPI

Seetak Health & Wellness LLC

  • Family Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1316662190
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SEETAK HEALTH & WELLNESS LLC
Practice address
937 Russell Ave Ste a
Gaithersburg, MD 20879-3280
Phone
(240) 477-4047
Fax
(240) 690-4128
NPI assigned
Oct 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Ms. Florence O Fakayode, CRNP
Title
Ceo/Owner
Phone
(240) 277-3873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

937 Russell Ave Ste a
Gaithersburg, MD 20879-3280

Mailing address

937 Russell Ave Ste a
Gaithersburg, MD 20879-3280
Phone (240) 477-4047

Other identifiers 1

IdentifierTypeStateIssuer
R169935OtherMDSTATE LICENSE

Other names 1

  • New Life Wellness Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2272237Seetak Health & Wellness Dba New Life Wellness LLC937 Russell Avenue Unit a, Gaithersburg, MD 20879Certificate of waiverNov 15, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1316662190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 RUSSELL AVE STE A",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793280",
            "telephone_number": "240-477-4047",
            "fax_number": "240-690-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 RUSSELL AVE STE A",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793280",
            "telephone_number": "240-477-4047",
            "fax_number": "240-690-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEETAK HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "FAKAYODE",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "240-277-3873",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "R169935",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.