Labake G Ogunnupe, CRNP-PMH

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R162454 Issued in MD

Practice address

547 Riverside Dr Ste a
Salisbury, MD 21801-5369

Phone

(443) 355-7517

Fax

(443) 733-6050

NPI assigned

May 2, 2019

Last updated

Aug 24, 2023By 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 MD

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Universality Health CareGroup PAC ID 3173956968, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Universality Health Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Salisbury, MD
  • NPI 1134785041
  Medicare reassignment Care Compare group NPD Authorized official
• Strategic Wellness Advocates LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1659056893
  Medicare reassignment NPD
• Endearment Assisted Living

  • Assisted Living Facility
  • Elkton, MD
  • NPI 1326734336
  NPD Authorized official
• Universality Health Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salisbury, MD
  • NPI 1275264665
  NPD (past) Authorized official
• Universality Health Care

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Salisbury, MD
  • NPI 1386376861
  NPD (past) Authorized official
• Universality Health Care

  • Rehabilitation Clinic/Center
  • Salisbury, MD
  • NPI 1396476784
  NPD (past) Authorized official
• Strategic Wellness Advocates LLC

  • Rehabilitation Clinic/Center
  • Baltimore, MD
  • NPI 1740968346
  NPD (past)

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1336704584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 RIVERSIDE DR STE A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015369",
            "telephone_number": "202-276-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 RIVERSIDE DR STE A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015369",
            "telephone_number": "443-355-7517",
            "fax_number": "443-733-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNNUPE",
        "first_name": "LABAKE",
        "middle_name": "G",
        "credential": "CRNP-PMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R162454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcel Odaimi, MD
• Oechsli Chiropractic PA (Oechsli Wood Chiropractic)
• Louis V Oechsli, DC
• Eric K. Ofori, MD
• Nicholas Lee Ogburn, MD
• Claiborne Beth Ohlsson, CSC
• Niranjan Ojha, MBBS
• Meriam O Okani, CRNP, FNP-C
• Madeline Okey, CRNA
• Celestina Okundaye, PMHNP-BC

• Psychiatric/Mental Health Nurse Practitioner in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

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