Oluranti A Omoyeni, ACNP,CRNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

R182449 Issued in MD

Practice address

4940 Eastern Ave
Alpha Commons Building, St 105
Baltimore, MD 21224-2735

Phone

(410) 550-0477

Fax

(410) 550-0732

NPI assigned

Nov 24, 2014

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

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1972900769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 SMITH AVE",
            "address_2": "SUITE, 210",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093652",
            "telephone_number": "410-735-6665",
            "fax_number": "410-735-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVE",
            "address_2": "ALPHA COMMONS BUILDING, ST 105",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242735",
            "telephone_number": "410-550-0477",
            "fax_number": "410-550-0732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMOYENI",
        "first_name": "OLURANTI",
        "middle_name": "A",
        "credential": "ACNP,CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R182449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• On Time Home Health Services

• Acute Care Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Acute Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.