Wendabo Aminata Ouedraogo, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

187611 Issued in MD

Practice address

1232 Race Rd
Rosedale, MD 21237-2351

Phone

(240) 305-8751

NPI assigned

Feb 28, 2020

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Post Acute Health Care Services LLC

  • Acute Care Nurse Practitioner
  • Pikesville, MD
  • NPI 1982423653
  NPD (past)

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1568096592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 WEXHALL TER",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661908",
            "telephone_number": "240-305-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 RACE RD",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212372351",
            "telephone_number": "240-305-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUEDRAOGO",
        "first_name": "WENDABO",
        "middle_name": "AMINATA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "187611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Colleen Oppenheim, LGPC
• Abiola Oshin, PMHNP, FNP
• Isabella Osiemo, CRNP
• Josephine Iredia Otasowie
• Yvonne Lynn Ottaviano, M.D.
• Elizabeth R Oursler
• Sari Rose Overby, LCSW-C
• Jennifer Ozoude, FNP-BC
• Briana Page
• Sheree Paige, LMSW

• Family Nurse Practitioner in Rosedale, MD
• Providers in Rosedale, 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 Feb 28, 2020; 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.