Individual provider Active NPI

Olufemi S Obasun, PHD

  • Home Health Aide
  • Springfield, VA
National Provider Identifier
1639949548
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
7007 Backlick CT Ste 250USA
Springfield, VA 22151-3937
Phone
(703) 214-9666
NPI assigned
Jan 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X BLA-0000002407 VA
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

7007 Backlick CT Ste 250USA
Springfield, VA 22151-3937

Mailing address

7007 Backlick CT Ste 250USA
Springfield, VA 22151-3937
Phone (703) 214-9666

Other names 1

  • Dr. Femi S Obasun Professional name

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
BLA-0000002407VAMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Research Institution LC Current 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": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1639949548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 BACKLICK CT STE 250USA",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513937",
            "telephone_number": "703-214-9666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 BACKLICK CT STE 250USA",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513937",
            "telephone_number": "703-214-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBASUN",
        "first_name": "OLUFEMI",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "VA",
            "license": "BLA-0000002407",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FEMI",
            "last_name": "OBASUN",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "PHD, DBA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.