Nomathembi Shakura Olatunji, DNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

4704209036 Issued in MI

Practice address

9535 Birch Run
Brighton, MI 48114-8950

Phone

(248) 225-2759

NPI assigned

Jan 25, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: nclora785323@direct.hfhs.org

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1811587744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9535 BIRCH RUN",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481148950",
            "telephone_number": "248-225-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9535 BIRCH RUN",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481148950",
            "telephone_number": "248-225-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLATUNJI",
        "first_name": "NOMATHEMBI",
        "middle_name": "SHAKURA",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "MI",
            "license": "4704209036",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704209036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Ockerman
• Andrea Odonnell
• Stephanie Oehring, MA CCC-SLP
• Anna Hodges Oginsky, LLMSW
• Katie Olari
• Erin Oldford, LPC
• Claudia Oliver, PT
• Grace Ann Olney
• Lisa Moody Oltmanns, M.D.
• Michael James Opsommer, LMSW, CAC1

• Gerontology Nurse Practitioner in Brighton, MI
• Providers in Brighton, MI by specialty
• Gerontology Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.