Individual provider Active NPI

Funmi Ann Obaseki, HHA, LPN

  • Licensed Practical Nurse
  • Lanham, MD
National Provider Identifier
1801135520
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN1006320 Issued in DC
Practice address
9785 Good Luck Rd
Apt 7
Lanham, MD 20706-3341
Phone
(240) 988-1753
NPI assigned
Feb 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X A00061744 MD
Licensed Practical Nurse 164W00000X LPN1006320 DC Primary

Addresses

Primary practice location

9785 Good Luck Rd
Apt 7
Lanham, MD 20706-3341

Mailing address

9785 Goodluk Road
Apt 7
Lanham, MD 20706-3341
Phone (240) 988-1753

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
LPN1006320DCMDLicensed Practical Nurse
A00061744MDMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1801135520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9785 GOODLUK ROAD",
            "address_2": "APT 7",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063341",
            "telephone_number": "240-988-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9785 GOOD LUCK RD",
            "address_2": "APT 7",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063341",
            "telephone_number": "240-988-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBASEKI",
        "first_name": "FUNMI",
        "middle_name": "ANN",
        "credential": "HHA, LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-01",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MD",
            "license": "A00061744",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN1006320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.