Individual provider Active NPI

Glory Majekodunmi

  • Registered Nurse
  • Cambridge, MD
National Provider Identifier
1770029969
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R213170 Issued in MD
Practice address
601 Locust St Ste 401
Cambridge, MD 21613-1756
Phone
(240) 421-4882
NPI assigned
Jan 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R213170 MD Primary
Licensed Practical Nurse 164W00000X LP36082 MD

Addresses

Primary practice location

601 Locust St Ste 401
Cambridge, MD 21613-1756

Mailing address

601 Locust St Ste 401
Cambridge, MD 21613-1756
Phone (240) 421-4882

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

LicenseStateTypeSpecialty
R213170MDMDRegistered Nurse
LP36082MDMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1770029969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 LOCUST ST STE 401",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131756",
            "telephone_number": "240-421-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 LOCUST ST STE 401",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131756",
            "telephone_number": "240-421-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJEKODUNMI",
        "first_name": "GLORY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R213170",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MD",
            "license": "LP36082",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.