Bolanle Christianah Thani, BSN, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RSA-01073 Issued in MD

Practice address

702 Turkana Cir
Aberdeen, MD 21001-1266

Phone

(667) 567-0110

Fax

(667) 280-4044

NPI assigned

May 3, 2023

Last updated

May 3, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

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.

• Shepherds Path Mental Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Aberdeen, MD
  • NPI 1346126216
  NPD Authorized official

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1912696279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 TURKANA CIR",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011266",
            "telephone_number": "667-567-0110",
            "fax_number": "667-280-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 TURKANA CIR",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210011266",
            "telephone_number": "667-567-0110",
            "fax_number": "667-280-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANI",
        "first_name": "BOLANLE",
        "middle_name": "CHRISTIANAH",
        "credential": "BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "RSA-01073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jai Taylor
• Kisha Taylor
• Lonnie Alexander Taylor
• Mary Jay Taylor, PHARMD
• Erika Teasley, LCSW-C
• Nischinta Thapa, MD
• The Aberdeen Fire Department Inc.
• The Care Group at Safe Harbor
• The Care Group at Safe Harbor
• The Palmer Foundation (Monica Palmer/The Palmer Agency)

• Home Health Registered Nurse in Aberdeen, MD
• Providers in Aberdeen, MD by specialty
• Home Health Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.