Individual provider Active NPI

Yetunde Grace Odunjo

  • Registered Nurse
  • White Marsh, MD
National Provider Identifier
1427953306
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R261762 Issued in MD
Practice address
11503 Autumn Terrace Dr
White Marsh, MD 21162-1152
Phone
(301) 281-5783
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R261762 MD Primary

Addresses

Primary practice location

11503 Autumn Terrace Dr
White Marsh, MD 21162-1152

Mailing address

11503 Autumn Terrace Dr
White Marsh, MD 21162-1152
Phone (301) 281-5783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1427953306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 AUTUMN TERRACE DR",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211621152",
            "telephone_number": "301-281-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11503 AUTUMN TERRACE DR",
            "city": "WHITE MARSH",
            "state": "MD",
            "postal_code": "211621152",
            "telephone_number": "301-281-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUNJO",
        "first_name": "YETUNDE",
        "middle_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R261762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Marsh, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.