Funmilayo Rita Fashola

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN1025198 Issued in DC

Practice address

1380 Southern Ave SE
Washington, DC 20032-4623

Phone

(202) 279-5580

NPI assigned

Nov 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arising Behavioral Health and Services LLCGroup PAC ID 2567827629, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: arisingbehavioralhealthservices.funmilayofashola@155734.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arising Behavioral Health and Services LLC

  • Psychiatry Physician
  • Washington, DC
  • NPI 1225735848
  Medicare reassignment Care Compare group NPD
• Elevate Health Solutions, LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1437974961
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC

  Medicare reassignment NPD
• Elevate Health Solutions, LLC

  • Internal Medicine Physician
  • Rockville, MD
  • NPI 1003601006
  NPD

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1952067878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5324 THOMAS SIM LEE TER",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207727422",
            "telephone_number": "301-433-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 SOUTHERN AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324623",
            "telephone_number": "202-279-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASHOLA",
        "first_name": "FUNMILAYO",
        "middle_name": "RITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "DC",
            "license": "RN1025198",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R197537",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2021085548",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yavar Farzanfar
• Sina Peter Farzin, DDS
• Oluwaseyi James Fasawe
• Charles Faselis, M.D.
• Fashion Optical
• Irem Shah Fasihi, PHARMD
• Shemila Fasihi, PA
• Fasil Transportation LLC
• Yalemwork Rufael Fasil
• Adam Gabriel Fasman

• Psychiatric/Mental Health Registered Nurse in Washington, DC
• Providers in Washington, DC by specialty
• Psychiatric/Mental Health Registered Nurse in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.