Individual provider Active NPI

Christina Olajumoke Fasanmi, CRNP

  • Family Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1497158620
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R187355 Issued in MD
Practice address
11006 Veirs Mill Rd Ste L15
Silver Spring, MD 20902-5923
Phone
(202) 681-9961
NPI assigned
Oct 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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 R187355 MD Primary

Addresses

Primary practice location

11006 Veirs Mill Rd Ste L15
Silver Spring, MD 20902-5923

Mailing address

2606 Berrywood LN
Springdale, MD 20774-7514
Phone (240) 605-3112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R187355MDMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1497158620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 BERRYWOOD LN",
            "city": "SPRINGDALE",
            "state": "MD",
            "postal_code": "207747514",
            "telephone_number": "240-605-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11006 VEIRS MILL RD STE L15",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025923",
            "telephone_number": "202-681-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASANMI",
        "first_name": "CHRISTINA",
        "middle_name": "OLAJUMOKE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R187355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.