Individual provider Active NPI

Agnes Oluyemi, RN

  • Home Health Registered Nurse
  • Glenn Dale, MD
National Provider Identifier
1619774288
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
R5274 Issued in MD
Practice address
11908 Prospect View Ave
Glenn Dale, MD 20769-9473
Phone
(240) 413-3598
NPI assigned
Feb 28, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X R5274 MD Primary

Addresses

Primary practice location

11908 Prospect View Ave
Glenn Dale, MD 20769-9473

Mailing address

11908 Prospect View Ave
Glenn Dale, MD 20769-9473
Phone (240) 413-3598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R5274MDMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Agnes Ioo Healthcare Services, Inc. CurrentSince Oct 5, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1619774288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11908 PROSPECT VIEW AVE",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699473",
            "telephone_number": "240-413-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11908 PROSPECT VIEW AVE",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699473",
            "telephone_number": "240-413-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUYEMI",
        "first_name": "AGNES",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "R5274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Dale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.