Olufunke Abidemi Taiwo, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN1025201 Issued in DC

Practice address

1818 Newton St NW
Washington, DC 20010-1017

Phone

(202) 328-7400

NPI assigned

May 17, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Omega Behavioral Clinic LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lanham, MD
  • NPI 1841037728

  DC

  Medicare reassignment NPD Authorized official
• Access Health Services

  • Multi-Specialty Clinic/Center
  • Lanham, MD
  • NPI 1427591569

  DC

  Medicare reassignment NPD
• Bridge Integrating Group Practice LLC

  • Psychiatric/Mental Health Registered Nurse
  • Baltimore, MD
  • NPI 1821711706
  Medicare reassignment NPD
• Mindfulpathdc

  • Psychiatric/Mental Health Nurse Practitioner
  • Gwynn Oak, MD
  • NPI 1710816715
  NPD (past)

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1861058570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 NEWTON ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200101017",
            "telephone_number": "202-328-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 NEWTON ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200101017",
            "telephone_number": "202-328-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIWO",
        "first_name": "OLUFUNKE",
        "middle_name": "ABIDEMI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "RN1025201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priya Tailor
• Chioma Tait
• Peter H. Tait, MD
• Adijat Taiwo
• Dairo Taiwo
• Rafiat Taiwo
• Basmark Tajap
• Alain N Tajocha
• Amingwa Tajong
• Cedric Taju

• Psychiatric/Mental Health Nurse Practitioner in Washington, DC
• Providers in Washington, DC by specialty
• Psychiatric/Mental Health Nurse Practitioner in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.