Active NPI
Oluwatosin Esther Jaiyeola
- Home Health Aide
- Upper Marlboro, MD
National Provider Identifier
1538530712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA11553
- Practice address
- 9303 Lavall Dr
Upper Marlboro, MD 20774-2585 - Phone
- (732) 500-2485
- NPI assigned
- Oct 13, 2015
- Last updated
- Oct 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA11553 | DC | Primary |
Addresses
Primary practice location
9303 Lavall Dr
Upper Marlboro, MD 20774-2585
Mailing address
9303 Lavall Dr
Upper Marlboro, MD 20774-2585
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HHA11553 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1538530712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9303 LAVALL DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207742585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9303 LAVALL DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207742585",
"telephone_number": "732-500-2485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAIYEOLA",
"first_name": "OLUWATOSIN",
"middle_name": "ESTHER",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-13",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA11553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.