Destiny Healthcare and Wellness Limited Liability Company

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DESTINY HEALTHCARE AND WELLNESS LIMITED LIABILITY COMPANY

Practice address

7060 Oakland Mills Rd
Columbia, MD 21046-1694

Phone

(410) 491-0962

NPI assigned

Oct 12, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Oludapo Raphael Eludoyin, FNPNPI 1023644762

Title

CRNP

Phone

(410) 491-0962

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oludapo Raphael Eludoyin, FNP

  • Family Nurse Practitioner
  • Columbia, MD
  • NPI 1023644762

  DC, Primary Care

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1356003743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 CHARLES EDWARD TER",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455147",
            "telephone_number": "410-491-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7060 OAKLAND MILLS RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461694",
            "telephone_number": "410-491-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY HEALTHCARE AND WELLNESS LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "ELUDOYIN",
        "authorized_official_first_name": "OLUDAPO",
        "authorized_official_middle_name": "RAPHAEL",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "410-491-0962",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Text",
            "affiliation": "N",
            "endpointDescription": "Text",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Text",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Text",
            "address_1": "6001 Charles Edward Ter",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210455147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aydelotte A Deshields III
• Delena Deshields, RN, MSN/HCM
• Avani Deshpande
• Lisa Marie Despres, MAC, LAC
• Asmamaw Desta, PHARMD
• Daphne Destiny
• Rajwinder Singh Deu, M.D.
• Kelsey Hope Deutsch
• Rachel Devincentz
• Eileen Dewey

• Primary Care Clinic/Center in Columbia, MD
• Providers in Columbia, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.