Roseline Otunga, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

237353 Issued in GA

Practice address

3620 Martin Luther King Jr Dr SW
Atlanta, GA 30331-3711

Phone

(404) 696-7300

Fax

(404) 696-0509

NPI assigned

Feb 11, 2021

Last updated

May 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16547/brand/1/csg/1/fhir/r4
• Direct secure messaging: roseline.otunga.1@16547.direct.athenahealth.com

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.

• Southwest Atlanta Nephrology, PC

  • Nephrology Physician
  • Atlanta, GA
  • NPI 1992756894
  Medicare reassignment NPD
• Somatus Whole Care Center, LLC

  • Nephrology Physician
  • Falls Church, VA
  • NPI 1932778388
  NPD

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1770176661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 MLK JR DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303313711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 MARTIN LUTHER KING JR DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303313711",
            "telephone_number": "404-696-7300",
            "fax_number": "404-696-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTUNGA",
        "first_name": "ROSELINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-11",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "237353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Ottensmeyer
• Stephanie Ottimo, NP
• Hunter Bryne Ottinger, PA-C
• Otto Bock Patient Care, LLC
• Abimbola Otufale, PMHNP
• Jason Robert Otwell
• Spring Ou-Tim, CPNP
• Dave Wei-Huie Ou, MD
• Serge Ouanounou, M.D.
• John P Ouderkirk, MD

• Family Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.