NPI Code Detail JSON Logo

1952179004 NPI number — OLATOMI AKINOLA

NPI Number: 1952179004
Health Care Provider/Practitioner: OLATOMI AKINOLA

Information about “1952179004” NPI (OLATOMI AKINOLA) exists in 1952179004 in HTML format HTML  |  1952179004 in plain Text format TXT  |  1952179004 in PDF (Portable Document Format) PDF  |  1952179004 in an XML format XML  formats.

NPI Number : 1952179004 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952179004",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AKINOLA",
    "FirstName": "OLATOMI",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10978 BUCKLEY HALL ROAD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MATHEWS",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23109-2310",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "240-264-9477",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10978 BUCKLEY HALL ROAD MATHEWS VA 23109",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MATHEWS",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "23109-2310",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "804-725-3041",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/19/2023",
    "LastUpdateDate": "01/10/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": "0024188782",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.