NPIMap

Individual provider Active NPI

Olutayo Shade Amosu

  • Home Health Aide
  • Bowie, MD
National Provider Identifier
1497398713
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
16229 Presidio Way
Bowie, MD 20716-1913
Phone
(301) 256-4400
NPI assigned
Oct 18, 2019
Last updated
Oct 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

16229 Presidio Way
Bowie, MD 20716-1913

Mailing address

16229 Presidio Way
Bowie, MD 20716-1913
Phone (301) 256-4400

Other practice location 1

16229 Presidio Way
Bowie, MD 20716-1913
Phone (301) 256-4400

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

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1497398713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16229 PRESIDIO WAY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161913",
            "telephone_number": "301-256-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16229 PRESIDIO WAY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207161913",
            "telephone_number": "301-256-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16229 Presidio Way",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207161913",
            "country_code": "US",
            "telephone_number": "301-256-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMOSU",
        "first_name": "OLUTAYO",
        "middle_name": "SHADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.