OMOBOLANLE M. ADENUGA (NPI# 1336796465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336796465 |
| Entity Type | Individual |
| Full Name | OMOBOLANLE M. ADENUGA |
| Credential | CRNP |
| Practice Address |
11636 Port Royal Ave Waldorf MD 20602-5193 |
| Practice Telephone | 2407551452 |
| Mailing Telephone | 2407551452 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R214177 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11636 PORT ROYAL AVE |
| City | WALDORF |
| State | MD |
| Zip Code | 20602-5193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053959411 | Nugahealth Primary Care LLC | Clinic/Center | 11636 Port Royal Ave, Waldorf, MD 20602-5193 | 2019-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| Find all providers in zip 20602 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154960128 | Sarian Beverly Wilson | Nurse Practitioner | 2203 Kayhill Dr, Waldorf, MD 20601 | 2019-12-23 |
| 1023582665 | Vanessa Wansel | Nurse Practitioner | 2193 Everett Ct, Waldorf, MD 20601-5606 | 2019-01-16 |
| 1053412759 | Sharon Jean Reith | Nurse Practitioner | 3975 St Charles Parkway, Waldorf, MD 20602 | 2006-09-26 |
| 1528614997 | Lorita Nkechi Nnaka | Nurse Practitioner | 601 Post Office Rd Ste 2a, Waldorf, MD 20602-1912 | 2019-08-12 |
| 1184077034 | Felicia Depina | Nurse Practitioner | 3581 Old Washington Rd, Suite F, Waldorf, MD 20602-3270 | 2016-07-15 |
| 1265855027 | Amanda Lee | Nurse Practitioner | 3581 Old Washington Rd, Suite F, Waldorf, MD 20602-3270 | 2014-01-30 |
| 1932377702 | Joyce Jacquetta Jackson | Nurse Practitioner | 3450 Old Washington Road, Suite 202, Waldorf, MD 20602-3248 | 2008-02-14 |
| 1992832208 | Gail Francis Tarlton | Nurse Practitioner | 11637 Terrace Dr, Suite 100, Waldorf, MD 20602 | 2007-02-27 |
| 1073686358 | Cecelia Ann Gramsky | Nurse Practitioner | 3581 Old Washington Rd, Suite F, Waldorf, MD 20602-3270 | 2006-11-16 |
| 1407928005 | Louise Greer Jenne | Nurse Practitioner | 3070 Crain Hwy, Waldorf, MD 20601-2830 | 2006-11-15 |
| Find all providers in WALDORF | ||||
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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.