Individual provider Active NPI

Itunuoluwa Alao, FNP-BC

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1497002836
Registry record updated Oct 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1025297 Issued in DC
Practice address
845 Bladensburg Rd NE
Washington, DC 20002-3927
Phone
(202) 247-6551
NPI assigned
Aug 3, 2012
Last updated
Oct 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2017

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 RN1025297 DC Primary

Addresses

Primary practice location

845 Bladensburg Rd NE
Washington, DC 20002-3927

Mailing address

521 N Quincy St
Arlington, VA 22203-2136

Other names 1

  • Itunu Alao Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160621001718 DC Practitioner - Nurse Practitioner 6608167713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 N Glebe Rd
Arlington, VA 22203-3755
Phone (703) 841-0703

521 N Quincy St
Arlington, VA 22203-2136
Phone 70384107033005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MC Medical Group of DC, PC Family CurrentSince May 10, 2016 Accepting new patients
National Capital Treatment and Recovery-Maryland Family CurrentSince Dec 25, 2023 Accepting new patients
National Capital Treatment and Recovery CurrentSince Dec 25, 2023 Accepting new patients

Locations

845 Bladensburg Rd NE
Washington, DC 20002
Phone (202) 247-6551

1554 Columbia Pike
Arlington, VA 22204
Phone (703) 228-0045

200 N Glebe Rd
Ste 104
Arlington, VA 22203
Phone 7038410703 ext. 3340

46 S Glebe Rd
Ste 300
Arlington, VA 22204

521 N Quincy St
Arlington, VA 22203

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507939200000",
    "number": "1497002836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N QUINCY ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222032136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 BLADENSBURG RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200023927",
            "telephone_number": "202-247-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAO",
        "first_name": "ITUNUOLUWA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2017-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1025297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ITUNU",
            "last_name": "ALAO",
            "credential": "FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.