Olaide Olufunke Olamijuwon, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R195145 Issued in MD

Practice address

6211 Harford Rd
Baltimore, MD 21214-1314

Phone

(443) 813-7364

NPI assigned

Sep 8, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Teekay Healthcare Services Incorporated

  • Developmentally Disabled Services Day Training Agency
  • Baltimore, MD
  • NPI 1487267290
  NPD Authorized official

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1811501828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6211 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141314",
            "telephone_number": "443-813-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 HARFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141314",
            "telephone_number": "443-813-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAMIJUWON",
        "first_name": "OLAIDE",
        "middle_name": "OLUFUNKE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R195145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Teekayhs@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Company e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6211 Harford Rd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212141314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yemi Olalekan, CRNP-AC
• Odunlade Olalere, CRNP
• Abigael O Olaleye
• Olamide O. Olambiwonnu, M.D.
• Olaoluwa Joshua Olamiju
• Carey Jae Olan, PA-C
• Anthony U Olandu, PH.D., LCAC
• Mary Nkwocha Olandu
• Maria Olango
• Oyeyemi Olaniran

• Registered Nurse in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.

Verify at the official NPI Registry.