Sakirat Bukola Raheem, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R196979 Issued in MD

Practice address

7131 Liberty Rd
Gwynn Oak, MD 21207-4575

Phone

(443) 200-5338

NPI assigned

Feb 16, 2024

Last updated

Feb 16, 2024By the provider in NPPES

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BAFEDD/Endpoint/BAFEDD

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

• Devine Family Care Practice LLC

  • Family Medicine Physician
  • Gwynn Oak, MD
  • NPI 1053828244
  NPD (past)

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

{
    "created_epoch": "1708041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1568227726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8217 APPALACHIAN DR",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221167",
            "telephone_number": "202-718-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 LIBERTY RD",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212074575",
            "telephone_number": "443-200-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHEEM",
        "first_name": "SAKIRAT",
        "middle_name": "BUKOLA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-16",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R196979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rameeka Rosa Powell
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• Tonia G Price
• Promptcare Transportation Service Maryland LLC
• Stephanie Pulsinelli, BT
• Byron Randall Jr., CPRP
• Reflections Counseling & Consulting
• Refresh Pain and Wellness, LLC
• Renace LLC
• Kelly Nicole Richardson, LCSW-C

• Family Nurse Practitioner in Gwynn Oak, MD
• Providers in Gwynn Oak, 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 16, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.