Individual provider Active NPI

Folasade Oluremi Fatusin

  • Registered Nurse
  • Columbia, MD
National Provider Identifier
1831683598
Registry record updated Jun 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R179767 Issued in MD
Practice address
10441 Little Patuxent Pkwy Ste 800
Columbia, MD 21044-3503
Phone
(240) 475-0376
NPI assigned
Jun 17, 2018
Last updated
Jun 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R179767 MD Primary

Addresses

Primary practice location

10441 Little Patuxent Pkwy Ste 800
Columbia, MD 21044-3503

Mailing address

10441 Little Patuxent Pkwy Ste 800
Columbia, MD 21044-3503

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
R179767MDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Care Team Home Health Services Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1529193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529193600000",
    "number": "1831683598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10441 LITTLE PATUXENT PKWY STE 800",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10441 LITTLE PATUXENT PKWY STE 800",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443503",
            "telephone_number": "240-475-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATUSIN",
        "first_name": "FOLASADE",
        "middle_name": "OLUREMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-17",
        "last_updated": "2018-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R179767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2018; 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.