Yetunde Otubanjo

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

R5052 Issued in MD

Practice address

8001 Moss Bank Dr
Laurel, MD 20724-2932

Phone

(301) 509-0739

NPI assigned

Feb 18, 2016

Sex

Female

Sole proprietor

No

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

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 and National Provider Directory roles.

• Victoria Garden Healthcare Inc

  • Home Health Agency
  • Laurel, MD
  • NPI 1669139762
  NPD Authorized official

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1962861955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 MOSS BANK DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242932",
            "telephone_number": "301-509-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 MOSS BANK DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242932",
            "telephone_number": "301-509-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTUBANJO",
        "first_name": "YETUNDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "R5052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolomi Oshiberu
• Anuoluwapo Osilesi, AGPCNP
• Mobolanle Henrietta Osinubi, CRNP
• Mohga Zakaria Osman, BS
• Otik Health Care Services
• Maryrose Otugo
• Oula Home Health Services LLC
• Oula Home Health Services LLC
• Ram Oula
• Christina Danielle Outlaw

• Home Health Registered Nurse in Laurel, MD
• Providers in Laurel, 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 Jan 26, 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.