Organization Active NPI

Lagom Advance Health

  • Family Nurse Practitioner
  • Crofton, MD
National Provider Identifier
1609465798
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LAGOM ADVANCE HEALTH
Practice address
2411 Crofton LN Ste 11a
Crofton, MD 21114-1337
Phone
(301) 433-5511
NPI assigned
Jan 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Authorized official

Name
Ms. Abiodun Elizabeth Jaiyeola, FNP
Title
Authorized Official/Owner
Phone
(301) 433-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2411 Crofton LN Ste 11a
Crofton, MD 21114-1337

Mailing address

2411 Crofton LN
Crofton, MD 21114-1304
Phone (301) 433-5511

Other practice location 1

12200 Annapolis Rd
Glenn Dale, MD 20769-9182
Phone (301) 867-2488

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Other Other
Direct Messaging Address Lagomahealth@hotmail.com Other

National Provider Directory

National Provider Directory

Locations

2411 Crofton Ln
Ste 11A
Crofton, MD 21114
Phone (301) 433-5511

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1609465798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 CROFTON LN",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141304",
            "telephone_number": "301-433-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 CROFTON LN STE 11A",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141337",
            "telephone_number": "301-433-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12200 Annapolis Rd",
            "address_purpose": "LOCATION",
            "city": "Glenn Dale",
            "state": "MD",
            "postal_code": "207699182",
            "country_code": "US",
            "telephone_number": "301-867-2488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LAGOM ADVANCE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "JAIYEOLA",
        "authorized_official_first_name": "ABIODUN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OWNER",
        "authorized_official_telephone_number": "301-433-5511",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Other",
            "affiliation": "N",
            "endpointDescription": "Other",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "2411 Crofton Ln Ste 11A",
            "city": "Crofton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211141337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lagomahealth@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Lagomahealth@hotmail.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Lagomahealth@hotmail.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Lagomahealth@hotmail.com",
            "address_1": "2411 Crofton Ln Ste 11A",
            "city": "Crofton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211141337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.