Nastassia Oluwatimi, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

03110L Issued in MD

Practice address

10511 Meadowlake Ter
Bowie, MD 20721-3141

Phone

(832) 714-6980

NPI assigned

Dec 26, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1766707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1730045451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 E 15TH ST APT 363",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745850",
            "telephone_number": "832-714-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 MEADOWLAKE TER",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213141",
            "telephone_number": "832-714-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUWATIMI",
        "first_name": "NASTASSIA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-26",
        "last_updated": "2026-09-06",
        "certification_date": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "03110L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olubunmi Olugemo, PMHNP
• Nnena Eke Olugu
• Michael Olukosi
• Oluwatosin Tolulope Oluokun, DCN
• George Oluwaboro
• Omega Care Services, Inc.
• Omega Health Care Services Inc
• Rasidat Funmi Omisola
• Omni Dental Group, Inc.
• Modupe Omogoriola

• Speech-Language Pathologist in Bowie, MD
• Providers in Bowie, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; 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.