Genevive Nkiru Bamigboye, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R185825 Issued in MD

Practice address

8113 Harford Rd Ste 100
Parkville, MD 21234-5790

Phone

(410) 882-6667

NPI assigned

Sep 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1538642301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4982 WINDPOWER WAY",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210437501",
            "telephone_number": "713-416-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8113 HARFORD RD STE 100",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345790",
            "telephone_number": "410-882-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMIGBOYE",
        "first_name": "GENEVIVE",
        "middle_name": "NKIRU",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R185825",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R185825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R185825",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Badmus Insurance Agency
• Rasheed Badmus, BA, FFM FACILITATOR.
• Nanyoung Baer, PHARMD
• Okpenze Felicia Ballard, PMHNP
• Marcella Armetta Baloga, PHARMD
• Bankchris Healthcare Services
• Nicku Barfar
• Shannon Barr
• Julie Piano Bates, R.N.
• Lauren M Bauer

• Family Nurse Practitioner in Parkville, MD
• Providers in Parkville, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.