Active NPI
Lagom Advance Health
- Family Nurse Practitioner
- Crofton, MD
National Provider Identifier
1609465798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Other | Other | |
| Direct Messaging Address | Lagomahealth@hotmail.com | Other |
National Provider Directory
National Provider DirectoryLocations
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.