Individual provider Active NPI

Ekere Ekandem Olojola, R.D, L.D.

  • Registered Dietitian
  • Laurel, MD
National Provider Identifier
1922490218
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DI100000470 Issued in DC
Practice address
15609 Millbrook LN
Laurel, MD 20707-3317
Phone
(202) 309-0260
NPI assigned
Feb 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DI100000470 DC Primary

Addresses

Primary practice location

15609 Millbrook LN
Laurel, MD 20707-3317

Mailing address

15609 Millbrook LN
Laurel, MD 20707-3317
Phone (202) 309-0260

Other names 1

  • Ms. Ekere Ekandem Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DI100000470DCMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1922490218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15609 MILLBROOK LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073317",
            "telephone_number": "202-309-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15609 MILLBROOK LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207073317",
            "telephone_number": "202-309-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLOJOLA",
        "first_name": "EKERE",
        "middle_name": "EKANDEM",
        "name_prefix": "Mrs.",
        "credential": "R.D, L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "DC",
            "license": "DI100000470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EKERE",
            "last_name": "EKANDEM",
            "prefix": "MS.",
            "credential": "R.D, L.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.