Doris Omoshalewa Akinlosotu, RN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

24860 Pacific Hwy S Ste 201
Kent, WA 98032-5401

Phone

(206) 228-9990

NPI assigned

Apr 21, 2022

Last updated

Apr 21, 2022By the provider in NPPES

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

Other identifiers 1

Other names 1

• Doris Omoshalewa Akinlosotu Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Blossom Health Care LLC

  • Home Health Agency
  • Kent, WA
  • NPI 1346569977
  Authorized official Same address or phone

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1861136285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24437 RUSSELL RD STE 108",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980321786",
            "telephone_number": "206-228-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24860 PACIFIC HWY S STE 201",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325401",
            "telephone_number": "206-228-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINLOSOTU",
        "first_name": "DORIS",
        "middle_name": "OMOSHALEWA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24860",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kent",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "24860 Pacific Hwy S Ste 201",
            "city": "Kent",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980325401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DORIS",
            "last_name": "AKINLOSOTU",
            "middle_name": "OMOSHALEWA",
            "credential": "SHALEWA AKINWANDE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Kent, WA
• Providers in Kent, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.