LABAKE G OGUNNUPE (NPI# 1336704584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336704584 |
| Entity Type | Individual |
| Full Name | LABAKE G OGUNNUPE |
| Credential | CRNP-PMH |
| Practice Address |
505 E Main St Salisbury MD 21804-5020 |
| Mailing Address |
7309 Point Patience Way Elkridge MD 21075-7917 |
| Practice Telephone | 4103413420 |
| Practice Fax Number | 4103413397 |
| Mailing Telephone | 2022769353 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R162454 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1447 York Rd, Lutherville Timonium, MD 210936017 | 4432863026 | |
| 431 E Main St, Salisbury, MD 218045018 | 4103419696 | 4103413397 |
| Street Address |
505 E MAIN ST |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538683479 | Kristin Kelly | Nurse Practitioner | 505 E Main St, Salisbury, MD 21804-5020 | 2017-08-02 |
| 1528599677 | Lower Shore Pharmacy | Pharmacy | 505 E Main St, Salisbury, MD 21804-5020 | 2017-03-21 |
| 1629515812 | Kristine Hickman | Nurse Practitioner | 505 E Main St, Salisbury, MD 21804-5020 | 2017-01-25 |
| 1316329378 | Karly Peterson | Physician Assistant | 505 E Main St, Salisbury, MD 21804-5020 | 2015-06-25 |
| 1699180307 | Andrew Karten | Social Worker | 505 E Main St, Salisbury, MD 21804-5020 | 2014-06-23 |
| 1164773248 | Jeannette Kathleen Buchanan | Social Worker | 505 E Main St, Salisbury, MD 21804-5020 | 2012-09-28 |
| 1356608137 | Kristine R Garlitz | Social Worker | 505 E Main St, Salisbury, MD 21804-5020 | 2012-04-18 |
| 1780950725 | Lower Shore Clinic, Inc | Clinic/Center | 505 E Main St, Salisbury, MD 21804-5020 | 2012-03-23 |
| 1578831087 | Susan Lee Gray | Social Worker | 505 E Main St, Salisbury, MD 21804-5020 | 2011-12-12 |
| 1194956565 | Patricia Linden Schlottman | Social Worker | 505 E Main St, Salisbury, MD 21804-5020 | 2009-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134785041 | Universality Health Care | Nurse Practitioner | 213 W Main St Ste 105, Salisbury, MD 21801-4872 | 2019-05-15 |
| 1992287411 | Inspiration Health Services, LLC | Nurse Practitioner | 806 Gettysburg Ave, Salisbury, MD 21804-6530 | 2018-08-31 |
| 1760984454 | Paul Elwood Klaverweiden Jr. | Nurse Practitioner | 104c Williamsport Cir, Salisbury, MD 21804-6400 | 2018-03-08 |
| 1861851602 | Emelda Fri Njei | Nurse Practitioner | 1813 Sweetbay Dr Ste 7, Salisbury, MD 21804 | 2016-02-22 |
| 1538440862 | Jill Anne Burgholzer | Nurse Practitioner | 1113 Healthway Dr., Salisbury, MD 21804 | 2011-08-31 |
| 1356552608 | Debra Mary Brinkman | Nurse Practitioner | 38 Lafayette Rd, Salisbury, MA 01952-1903 | 2007-05-25 |
| 1124648936 | Lauren Renee Gettier | Nurse Practitioner | 100 E Carroll St, Salisbury, MD 21801-5493 | 2020-04-22 |
| 1104454701 | Whitney Bradshaw | Nurse Practitioner | 100 E Carroll St, Salisbury, MD 21801-5422 | 2020-03-30 |
| 1134756794 | Oluwadara Osinubi | Nurse Practitioner | 431 E Main St, Salisbury, MD 21804-5018 | 2020-03-24 |
| 1437796901 | Justina Kenna Ugorji | Nurse Practitioner | 1813 Sweetbay Dr, Salisbury, MD 21804-1663 | 2019-12-04 |
| Find all providers in SALISBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.