Active NPI
Adeola Goodluck
- Registered Nurse
- Bowie, MD
National Provider Identifier
1972383586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN200001468
- Practice address
- 13227 5TH St
Bowie, MD 20720-3609 - Phone
- (240) 828-9504
- NPI assigned
- Oct 2, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN200001468 | DC | Primary |
Addresses
Primary practice location
13227 5TH St
Bowie, MD 20720-3609
Mailing address
13227 5TH St
Bowie, MD 20720-3609
Phone (240) 828-9504
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 |
|---|---|---|---|
| RN200001468 | DC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midastouch Services LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Nursing Care Agency
- Bowie, MD
- NPI 1770397200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1972383586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13227 5TH ST",
"city": "BOWIE",
"state": "MD",
"postal_code": "207203609",
"telephone_number": "240-828-9504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13227 5TH ST",
"city": "BOWIE",
"state": "MD",
"postal_code": "207203609",
"telephone_number": "240-828-9504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODLUCK",
"first_name": "ADEOLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-02",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DC",
"license": "RN200001468",
"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 Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.