Olu I Apanpa, DIETITIAN

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

License

005894 Issued in NY

Practice address

15515 Jamaica Ave # 11434
Jamaica, NY 11432-3829

Phone

(917) 651-3684

NPI assigned

Apr 11, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Olu I Apanpa Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1497508063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15515 N CONDUIT AVE APT 6M",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344342",
            "telephone_number": "917-651-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15515 JAMAICA AVE # 11434",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114323829",
            "telephone_number": "917-651-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APANPA",
        "first_name": "OLU",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "DIETITIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NY",
            "license": "005894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLU",
            "last_name": "APANPA",
            "middle_name": "I",
            "prefix": "MR.",
            "credential": "CERTIFIED DIETITIAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Nutrition Education Nutritionist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Nutrition Education Nutritionist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.