Individual provider Active NPI

Oluwaseun Oluwadamilola Ross, NP

  • Family Nurse Practitioner
  • Denton, MD
National Provider Identifier
1447409529
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R170496 Issued in MD
Practice address
8 Denton PLZ
Denton, MD 21629-9501
Phone
(443) 606-2300
Fax
(443) 606-2305
NPI assigned
Sep 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R170496 MD Primary

Addresses

Primary practice location

8 Denton PLZ
Denton, MD 21629-9501

Mailing address

1400 Front Ave Ste 300
Lutherville, MD 21093-5364
Phone (410) 296-7190

Other practice location 1

8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-3994

Other identifiers 2

IdentifierTypeStateIssuer
R170496OtherMDMARYLAND BOARD OF NURSING
F0808134OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS

Other names 1

  • Oluwaseun Or Seun Oluwadamilola Olowomeye Former name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R170496MDMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447409529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 FRONT AVE STE 300",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210935364",
            "telephone_number": "410-296-7190",
            "fax_number": "443-991-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DENTON PLZ",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216299501",
            "telephone_number": "443-606-2300",
            "fax_number": "443-606-2305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8600 Old Georgetown Rd",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208141422",
            "country_code": "US",
            "telephone_number": "301-896-3994",
            "fax_number": "301-897-1315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "OLUWASEUN",
        "middle_name": "OLUWADAMILOLA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R170496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF NURSING",
            "identifier": "R170496",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F0808134",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLUWASEUN OR SEUN",
            "last_name": "OLOWOMEYE",
            "middle_name": "OLUWADAMILOLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.