Active NPI
Damilola Kemisola Familoni, N.D, L.AC, M.S(NUTRI
- Naturopath
- Upper Marlboro, MD
National Provider Identifier
1750795407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- NP-0051
- Practice address
- 10801 Winston Churchill CT
Upper Marlboro, MD 20772-4849 - Phone
- (301) 237-7125
- NPI assigned
- Jun 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | |||
| Acupuncturist | 171100000X | U02164 | MD | |
| Health Educator | 174H00000X | |||
| Homeopath | 175L00000X | |||
| Acupuncturist | 171100000X | AC500199 | DC | |
| Naturopath | 175F00000X | NP-0051 | DC | Primary |
Addresses
Primary practice location
10801 Winston Churchill CT
Upper Marlboro, MD 20772-4849
Mailing address
10801 Winston Churchill CT
Upper Marlboro, MD 20772-4849
Phone (301) 237-7125
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 |
|---|---|---|---|
| AC500199 | DC | MD | Acupuncturist |
| U02164 | MD | MD | Acupuncturist |
| NP-0051 | DC | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404086400000",
"number": "1750795407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10801 WINSTON CHURCHILL CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207724849",
"telephone_number": "301-237-7125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10801 WINSTON CHURCHILL CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207724849",
"telephone_number": "301-237-7125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAMILONI",
"first_name": "DAMILOLA",
"middle_name": "KEMISOLA",
"name_prefix": "Dr.",
"credential": "N.D, L.AC, M.S(NUTRI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-19",
"last_updated": "2014-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U02164",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175L00000X",
"taxonomy_group": "",
"desc": "Homeopath",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "DC",
"license": "AC500199",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "DC",
"license": "NP-0051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.