OLUBUKOLA FUNMI OLATOTO


Address: 445 Winn Way, Decatur, GA 30030
Phone: 4045087796

OLUBUKOLA FUNMI OLATOTO (NPI# 1235634635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235634635
Entity Type Individual
Full Name OLUBUKOLA FUNMI OLATOTO
Credential NP
Practice Address 445 Winn Way
Decatur
GA 30030
Mailing Address 6609 Waterton Ave Sw # 6609
Atlanta
GA 30331-9447
Practice Telephone 4045087796
Mailing Telephone 7709053163
Enumeration Date 2018-03-27
Last Update Date 2018-08-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
201190 GA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
80 Jesse Hill Jr Dr Se, Atlanta, GA 303033031 7709053163

Office Location

Street Address 445 WINN WAY
City DECATUR
State GA
Zip Code 30030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770588691 Nancy S Koughan Preventive Medicine 445 Winn Way, Decatur, GA 30030-1707 2005-06-16
1699372342 Marteia Wells Social Worker 445 Winn Way, Decatur, GA 30030-1707 2020-10-06
1205440831 Trikella T Jones Counselor 445 Winn Way, Decatur, GA 30030-1707 2020-09-01
1376166611 Rashanna Ratliff Counselor 445 Winn Way, Decatur, GA 30030-1707 2020-05-21
1710513783 Mary L Locke Counselor 445 Winn Way, Decatur, GA 30030-1707 2020-03-20
1306477138 Obiageri Ohayagha Nurse Practitioner 445 Winn Way, Decatur, GA 30030-1707 2020-01-30
1053959254 John Francis Beltrami Preventive Medicine 445 Winn Way, Decatur, GA 30030-1707 2019-12-18
1609411172 Jean Lehmann Dietitian, Registered 445 Winn Way, Decatur, GA 30030-1707 2019-11-08
1437709086 Joseph Pfeffer Counselor 445 Winn Way, Decatur, GA 30030-1707 2019-09-16
1760047013 Karen Brown Taylor Counselor 445 Winn Way, Decatur, GA 30030-1707 2019-05-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801413174 Pa-c Surgical Assist, LLC Clinic/Center 520 W Ponce Leon Ave #1706, Decatur, GA 30030 2020-07-02
1417587478 Elizabeth Heffron Acupuncturist 619b East College Avenue, Decatur, GA 30030 2020-01-17
1669016143 Atlanta Upper Cervical Chiropractic LLC Chiropractor 125 E Trinity Place, Suite #247, Decatur, GA 30030 2019-10-29
1831757418 Jessica Stewart Counselor 755 Commerce Dr Ste 903, Decatur, GA 30030 2019-05-30
1699238733 Dinah Augustin Registered Nurse 1458 Church St., Unit B, Decatur, GA 30030 2019-04-06
1093284291 Eliza Segell Social Worker 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 2018-11-16
1912476466 Positive Impact Health Centers, Inc. Pharmacy 523 Church Street, Suite B, Decatur, GA 30030 2018-11-14
1932685096 T2 Imaging Radiology 1376 Church Street, Suite 100, Decatur, GA 30030 2018-07-12
1992292858 Keeanna M Powell Counselor Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 2018-04-17
1780185488 Solutions Ae Inc Counselor One West Square Court, Suite 710, Decatur, GA 30030 2018-02-27
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851934988 Tara Michelle Ridgeway Nurse Practitioner 2132 E Decatur St, Decatur, IL 62521-3148 2019-10-22
1245790914 Faridy Maya Mombeleur Nurse Practitioner 2000 S Fm 51 Ste C, Decatur, TX 76234-3702 2019-03-20
1891204152 Jasmine Keamber Mckinley Nurse Practitioner 1615 Kathy Ln Sw Ste 102, Decatur, AL 35603-1026 2017-09-29
1700305372 Jessica Skarda Nurse Practitioner 1577-1631 Kathy Ln Sw, Decatur, AL 35603 2017-09-14
1306477138 Obiageri Ohayagha Nurse Practitioner 445 Winn Way, Decatur, GA 30030-1707 2020-01-30
1407405905 Erica Y Taylor Nurse Practitioner 120 E Trinity Pl, Decatur, GA 30030-3302 2019-09-06
1205309267 Ashley M Garner Nurse Practitioner 320 E Central Ave, Decatur, IL 62521-4665 2019-01-02
1801379516 Lauren Colegrove Nurse Practitioner 465 Winn Way Ste 221, Decatur, GA 30030-1723 2018-09-09
1619459542 Okechukwu Nnaji Nurse Practitioner 445 Winn Way, Decatur, GA 30030-1707 2018-09-06
1831693357 Bamidele Odede Nurse Practitioner 445 Winn Way, Decatur, GA 30030 2018-03-20
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Competitor

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City DECATUR
Zip Code 30030

Improve Information

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Dataset Information

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.

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