Individual provider Active NPI

Olufemi Ogunnaike, RN

  • Registered Nurse
  • Harrisburg, PA
National Provider Identifier
1740848738
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN643975 Issued in PA
Practice address
3835 Walnut St
Harrisburg, PA 17109-2533
Phone
(717) 412-4154
Fax
(717) 409-8635
NPI assigned
Jun 4, 2019
Last updated
Jul 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN643975 PA Primary

Addresses

Primary practice location

3835 Walnut St
Harrisburg, PA 17109-2533

Mailing address

3835 Walnut St
Harrisburg, PA 17109-2533
Phone (717) 412-4154

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN643975PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Healthcare Services LLC Registered Nurse Current Accepting new patients
Apex Healthcare Services, LLC Current Accepting new patients

Locations

3310 Market St
Ste B
Camp Hill, PA 17011
Phone (717) 412-4154

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, 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": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1740848738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 WALNUT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171092533",
            "telephone_number": "717-412-4154",
            "fax_number": "717-409-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 WALNUT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171092533",
            "telephone_number": "717-412-4154",
            "fax_number": "717-409-8635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGUNNAIKE",
        "first_name": "OLUFEMI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-04",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN643975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.