Individual provider Active NPI

Oluwakemi Florence Oluwayemi, CNA

  • Skilled Nursing Facility
  • Seatac, WA
National Provider Identifier
1639909112
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
61184320 Issued in WA
Practice address
15320 33Rd Ave S
Unit S610
Seatac, WA 98188
Phone
(612) 383-8086
NPI assigned
Aug 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 61184320 WA
Skilled Nursing Facility 314000000X 61184320 WA Primary

Addresses

Primary practice location

15320 33Rd Ave S
Unit S610
Seatac, WA 98188

Mailing address

15320 33Rd Ave S
Apt S610
Seatac, WA 98188-5190
Phone (612) 383-8086

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

State licenses

LicenseStateTypeSpecialty
61184320WAMDLong Term Care Hospital

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1639909112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15320 33RD AVE S",
            "address_2": "APT S610",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981885190",
            "telephone_number": "612-383-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15320 33RD AVE S",
            "address_2": "UNIT S610",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "98188",
            "telephone_number": "612-383-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUWAYEMI",
        "first_name": "OLUWAKEMI",
        "middle_name": "FLORENCE",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "WA",
            "license": "61184320",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "61184320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seatac, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.