Segun O Oyebode

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R224488 Issued in MD

Practice address

5952 Hubbard Dr
Rockville, MD 20852-4824

Phone

(240) 833-3920

Fax

(833) 728-0364

NPI assigned

Dec 17, 2012

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627084800000",
    "number": "1871839019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 HANCOCK DR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207745616",
            "telephone_number": "202-413-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5952 HUBBARD DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524824",
            "telephone_number": "240-833-3920",
            "fax_number": "833-728-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEBODE",
        "first_name": "SEGUN",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-17",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R224488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Owusu
• Jennifer Owusu
• Mary Owusu
• Nana Owusu
• Ama Owusuwa, DPT
• Funmilayo Oyeniyi
• Oluwadamilola Oyewumi
• Busola Oyeyinka
• Elizabeth Bolanle Oyolola
• Katherine L Oyson

• Psychiatric/Mental Health Nurse Practitioner in Rockville, MD
• Providers in Rockville, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.