Active NPI
Osinachi Shawn Nwaobilor
- Nurse's Aide
- Glenn Dale, MD
National Provider Identifier
1740876002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CNA20202903
- Practice address
- 12020 Augusta Dr
Glenn Dale, MD 20769-9305 - Phone
- (301) 281-5949
- NPI assigned
- Dec 21, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CNA20202903 | MD | Primary |
Addresses
Primary practice location
12020 Augusta Dr
Glenn Dale, MD 20769-9305
Mailing address
12020 Augusta Dr
Glenn Dale, MD 20769-9305
Phone (301) 281-5949
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNA20202903 | MD | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608508800000",
"number": "1740876002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12020 AUGUSTA DR",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207699305",
"telephone_number": "301-281-5949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12020 AUGUSTA DR",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207699305",
"telephone_number": "301-281-5949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWAOBILOR",
"first_name": "OSINACHI",
"middle_name": "SHAWN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-21",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MD",
"license": "CNA20202903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenn Dale, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.