AYODEJI SEGUN OLUDIMU (NPI# 1598317364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598317364 |
| Entity Type | Individual |
| Full Name | AYODEJI SEGUN OLUDIMU |
| Credential | NURSE |
| Practice Address |
1905 Pheasant Creek Ln Peabody MA 01960-4731 |
| Practice Telephone | 9782101894 |
| Mailing Telephone | 9782101894 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LN85373 | MA | Nursing Service Providers |
| Street Address |
1905 PHEASANT CREEK LN |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-4731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316557580 | Teresah Nyaga | Licensed Practical Nurse | 10 Overlook Trl Apt 10211, Peabody, MA 01960-8840 | 2020-08-03 |
| 1790213296 | Rosemary Mukundi Nyawira | Licensed Practical Nurse | 4 Blueberry Way, Peabody, MA 01960-4940 | 2017-05-27 |
| 1073955357 | Rebecca Lee Denison | Licensed Practical Nurse | 14 Sylvia Rd, Peabody, MA 01960-5212 | 2013-07-26 |
| 1689938706 | Jo Ann Cowley | Licensed Practical Nurse | 53 Shore Dr, Apt. G, Peabody, MA 01960-9208 | 2012-07-03 |
| 1073134797 | Margaret Fortoh Awandem | Licensed Practical Nurse | 16 Cashman Rd, Peabody, MA 01960-5726 | 2020-05-04 |
| 1033688031 | Cynthia Marie Navarro | Licensed Practical Nurse | 2 1st Ave, Peabody, MA 01960-4959 | 2018-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556267 | Stephanie Marie Murphy | Licensed Practical Nurse | 35 Admiral Halsey Rd, Plymouth, MA 02360-1815 | 2020-10-22 |
| 1003423336 | Miladys Reyes | Licensed Practical Nurse | 1 General St Fl 4, Lawrence, MA 01841-2961 | 2020-09-30 |
| 1902413073 | Ruchama T Leconte | Licensed Practical Nurse | 898 Read St, Attleboro, MA 02703-6199 | 2020-09-23 |
| 1780299131 | Amanda Marie Holland | Licensed Practical Nurse | 1 Carleton Rd, Plainville, MA 02762-2401 | 2020-09-12 |
| 1689285330 | Kizzy Akeeyaha Guyton | Licensed Practical Nurse | 191 Meadow St, Carver, MA 02330-1524 | 2020-08-14 |
| 1700497096 | Monica Lynn Glasgow | Licensed Practical Nurse | 21 Kenwood St, Greenfield, MA 01301-1973 | 2020-08-11 |
| 1184234841 | Karen Yvonne Harris | Licensed Practical Nurse | 1000 Harvard St Apt 16, Boston, MA 02126-1405 | 2020-08-06 |
| 1073122487 | Evelyn Chacon | Licensed Practical Nurse | 10 Oakland Ave Apt 1, Attleboro, MA 02703-3581 | 2020-07-31 |
| 1225647530 | Lauren Taylor Robbins | Licensed Practical Nurse | 21 Centennial Drive Apt. #3, Norwood, MA 02062 | 2020-07-23 |
| 1184242927 | Sandra Parisien | Licensed Practical Nurse | 66 Keith Ave Apt 2, Brockton, MA 02301-6818 | 2020-07-08 |
| Find all providers with the same taxonomy | ||||
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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.