Olushola S Balogun-Shagari

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN7874 Issued in DC

Practice address

7506 Georgia Ave NW
Washington, DC 20012-1608

Phone

(202) 291-6973

Fax

(202) 291-0037

NPI assigned

Jul 22, 2013

Last updated

Jul 22, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1508208406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 ANNAPOLIS RD",
            "address_2": "APT #606",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207102075",
            "telephone_number": "202-280-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7506 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121608",
            "telephone_number": "202-291-6973",
            "fax_number": "202-291-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOGUN-SHAGARI",
        "first_name": "OLUSHOLA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN7874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tashiko Ballinger
• Nina Theresa Ballone, MD
• Demesha Ballou
• Cristobal Alejandro Balmaceda Almeida, M.D.
• Adeyinka A Balogun-Agesin
• Adetoun Balogun
• Bolanle Balogun
• Jenifer Balogun
• Justina Balogun
• Kofoworola Balogun, MBI HEALTH SERVICES

• Licensed Practical Nurse in Washington, DC
• Providers in Washington, DC by specialty
• Licensed Practical Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.