Active NPI
Omolara Ayeyemi
- Nurse's Aide
- Lanham, MD
National Provider Identifier
1386223352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- A00176909
- Practice address
- 9869 Good Luck Rd Apt T1
Lanham, MD 20706-3200 - Phone
- (929) 451-4928
- NPI assigned
- Apr 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | A00176909 | MD | Primary |
Addresses
Primary practice location
9869 Good Luck Rd Apt T1
Lanham, MD 20706-3200
Mailing address
9869 Good Luck Rd Apt T1
Lanham, MD 20706-3200
Phone (929) 451-4928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A00176909 | MD | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1386223352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9869 GOOD LUCK RD APT T1",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063200",
"telephone_number": "929-451-4928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9869 GOOD LUCK RD APT T1",
"city": "LANHAM",
"state": "MD",
"postal_code": "207063200",
"telephone_number": "929-451-4928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYEYEMI",
"first_name": "OMOLARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-06",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MD",
"license": "A00176909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.