Annette Ibukunola Dhannie, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R174465 Issued in MD

Practice address

2608 Hoods Mill CT Apt 401
Odenton, MD 21113-3917

Phone

(443) 303-7378

NPI assigned

Sep 18, 2023

Last updated

Sep 18, 2023By 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

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Greenlake Adult Medical Daycare Services LLC

  • Adult Day Care Clinic/Center
  • Salisbury, MD
  • NPI 1881480911
  NPD Authorized official

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1376321646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 HOODS MILL CT APT 401",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211133917",
            "telephone_number": "443-303-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 HOODS MILL CT APT 401",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211133917",
            "telephone_number": "443-303-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHANNIE",
        "first_name": "ANNETTE",
        "middle_name": "IBUKUNOLA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R174465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Deausen
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• Shannon Ditzel, LMT
• Divorce and Family Mediationservices
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• Registered Nurse in Odenton, MD
• Providers in Odenton, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.