Active NPI
Ayodola O Jatto, CRNP
- Primary Care Nurse Practitioner
- Hyattsville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- R129336
- Practice address
- 4118 70TH Ave
Hyattsville, MD 20784-2649 - Phone
- (240) 713-4166
- NPI assigned
- Apr 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | R129336 | MD | Primary |
Addresses
Primary practice location
4118 70TH Ave
Hyattsville, MD 20784-2649
Mailing address
4118 70TH Ave
Hyattsville, MD 20784-2649
Phone (240) 713-4166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PA Post Acute Services PC | Current | Accepting new patients |
Locations
2525 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 367-9100
100 Laurel Dr
Elkton, MD 21921
Phone (410) 398-8800
3000 McComas Ave
Kensington, MD 20895
Phone (301) 491-3090
105 Time Sq
Salisbury, MD 21801
Phone (410) 749-2474
2601 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 598-6000
1234 Washington Rd
Westminster, MD 21157
Phone (410) 848-0700
10123 Alliance Rd
Ste 617
Blue Ash, OH 45242
6700 Columbia Pike
Annandale, VA 22003
Phone (703) 256-7000
Organizations & group practices 2
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": "1619481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1669054607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4118 70TH AVE",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207842649",
"telephone_number": "240-713-4166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4118 70TH AVE",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207842649",
"telephone_number": "240-713-4166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JATTO",
"first_name": "AYODOLA",
"middle_name": "O",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-27",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MD",
"license": "R129336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.