Optimum Primary Health and Wellness Center, L.L.C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

OPTIMUM PRIMARY HEALTH AND WELLNESS CENTER, L.L.C

Practice address

7207B Hanover Pkwy # B
Greenbelt, MD 20770-3606

Phone

(240) 421-0664

Fax

(844) 211-5123

NPI assigned

Apr 22, 2024

Last updated

Apr 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Yetunde Adepetu, FNPNPI 1598264509

Title

FNP

Phone

(240) 421-0664

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yetunde Adepetu, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Laurel, MD
  • NPI 1598264509

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1376398511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 WIPKEY CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203233",
            "telephone_number": "240-421-0644",
            "fax_number": "844-211-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207B HANOVER PKWY # B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703606",
            "telephone_number": "240-421-0664",
            "fax_number": "844-211-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM PRIMARY HEALTH AND WELLNESS CENTER, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "ADEPETU",
        "authorized_official_first_name": "YETUNDE",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "240-421-0664",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Open Arms
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• Ijeoma Shirley Osigwe, RPH
• Philomena Osunde-Osagie

• Family Nurse Practitioner in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.