Active NPI
Victoria A Olaniyi
- Nurse Practitioner
- Bowie, MD
National Provider Identifier
1942986641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP1013365
- Practice address
- 17106 Birch Leaf Ter
Bowie, MD 20716-3637 - Phone
- (301) 219-5202
- NPI assigned
- Jun 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN1013365 | DC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R180887 | MD | |
| Nurse Practitioner | 363L00000X | NP1013365 | DC | Primary |
Addresses
Primary practice location
17106 Birch Leaf Ter
Bowie, MD 20716-3637
Mailing address
17106 Birch Leaf Ter
Bowie, MD 20716-3637
Phone (301) 219-5202
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN1013365 | DC | MD | Registered Nurse |
| NP1013365 | DC | MD | Nurse Practitioner |
| R180887 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1942986641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17106 BIRCH LEAF TER",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163637",
"telephone_number": "301-219-5202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17106 BIRCH LEAF TER",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163637",
"telephone_number": "301-219-5202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLANIYI",
"first_name": "VICTORIA",
"middle_name": "A",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-26",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN1013365",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R180887",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DC",
"license": "NP1013365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.