Individual provider Active NPI

Ajibola Bukola Olagunju, CNM

  • Advanced Practice Midwife
  • Westminster, MD
National Provider Identifier
1649038332
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
232592 Issued in MD
Practice address
844 Washington Rd Ste 302
Westminster, MD 21157-6664
Phone
(410) 876-2003
Fax
(410) 848-3009
NPI assigned
Mar 7, 2024
Last updated
May 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 232592 MD Primary

Addresses

Primary practice location

844 Washington Rd Ste 302
Westminster, MD 21157-6664

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610001582 MD Practitioner - Certified Nurse Midwife (CNM) 7517409287 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
232592MDMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women's Care, L.L.C. Current Accepting new patients
Capital Women's Care, L.L.C. CurrentSince May 13, 2024 Accepting new patients
Carroll Hospital Center, Inc. Past Accepting new patients

Locations

61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

844 Washington Rd
Ste 302
Westminster, MD 21157
Phone (410) 848-6294

Interoperability endpoints

  • Direct secure messaging: ajibola.olagunju.p1@direct.cwcare.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1649038332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "301-340-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 WASHINGTON RD STE 302",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211576664",
            "telephone_number": "410-876-2003",
            "fax_number": "410-848-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAGUNJU",
        "first_name": "AJIBOLA",
        "middle_name": "BUKOLA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MD",
            "license": "232592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.