Individual provider Active NPI

Faith Onajite Okuneye, RN

  • Registered Nurse
  • Blaine, MN
National Provider Identifier
1851142871
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
2521929 Issued in MN
Practice address
11033 University Ave NE Apt D
Blaine, MN 55434-1997
Phone
(763) 310-6512
NPI assigned
Mar 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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 2521929 MN Primary

Addresses

Primary practice location

11033 University Ave NE Apt D
Blaine, MN 55434-1997

Mailing address

11033 University Ave NE Apt D
Blaine, MN 55434-1997
Phone (763) 310-6512

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2521929MNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1851142871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11033 UNIVERSITY AVE NE APT D",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554341997",
            "telephone_number": "763-310-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11033 UNIVERSITY AVE NE APT D",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554341997",
            "telephone_number": "763-310-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUNEYE",
        "first_name": "FAITH",
        "middle_name": "ONAJITE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2521929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.