Tko Ventures LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

TKO VENTURES LLC

Practice address

97 Capital CT Apt 1114
Upper Marlboro, MD 20774-1081

Phone

(443) 226-1023

NPI assigned

Oct 17, 2022

Organization subpart

No

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

Authorized official

Name

Kehinde Olatunji, FNP-C, PMHNP-BC

Title

Owner/Provider

Phone

(443) 226-1023

Specialties & licenses 2

Addresses

Other names 1

• TKO Vitality Health Doing business as

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1942926464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 CAPITAL CT APT 1114",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741081",
            "telephone_number": "443-226-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 CAPITAL CT APT 1114",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741081",
            "telephone_number": "443-226-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKO VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "OLATUNJI",
        "authorized_official_first_name": "KEHINDE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "443-226-1023",
        "authorized_official_credential": "FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TKO Vitality Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kama Tillman, MD
• Engoh M Timah
• Tint Services LLC
• Musong Tita Mackenzie
• Felicia Yeluma Titanji
• Thomas Toche, PMHNP
• Todd Creighton, DC, PA
• Flora Vekan Toh, HHA
• Ericka Torres
• Total Risk

• Psychiatric/Mental Health Nurse Practitioner in Upper Marlboro, MD
• Providers in Upper Marlboro, 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 Oct 17, 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.