BOLADALE ADEBIMPE ADEBOGUN (NPI# 1285932038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285932038 |
| Entity Type | Individual |
| Full Name | BOLADALE ADEBIMPE ADEBOGUN |
| Practice Address |
62 Ridgelawn Rd Reisterstown MD 21136-3647 |
| Practice Telephone | 4437627949 |
| Mailing Telephone | 4437627949 |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 101104 | MD | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | 101104 | MD | Nursing Service Providers |
| N | 374U00000X | Home Health Aide | 101104 | MD | Nursing Service Related Providers |
| Y | 376K00000X | Nurse's Aide | 101104 | MD | Nursing Service Related Providers |
| Street Address |
62 RIDGELAWN RD |
| City | REISTERSTOWN |
| State | MD |
| Zip Code | 21136-3647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791276 | Iyawamiwa Shittu | Counselor | 11 Chartley Drive, Reisterstown, MD 21136 | 2019-07-11 |
| 1508334517 | Amanda Britton | Speech-Language Pathologist | 12039 Reisterstown Rd., Reisterstown, MD 21136 | 2018-11-07 |
| 1366964272 | Marc Manko | Physician Assistant | 12608 Mt. Laurel Ct., Reisterstown, MD 21136 | 2017-07-12 |
| 1518325794 | Diana Jebaraj | Occupational Therapist | 15 Sunday Ct, Reisterstown, MD 21136 | 2016-02-03 |
| 1164816823 | Golda-amit Incorporated | Supports Brokerage | 11919 Tarragon Rd, Apt A, Reisterstown, MD 21136 | 2015-03-20 |
| 1073925210 | Irina Koyfman | Nurse Practitioner | 321 Chamborley Drive, Reisterstown, MD 21136 | 2014-05-22 |
| 1033462627 | Tracy Brenton | Counselor | 14450 Hanover Pike, Reisterstown, MD 21136 | 2012-10-19 |
| 1760738884 | Bonnie Lynne Haines | Massage Therapist | 141 Westminster Pike, Reisterstown, MD 21136 | 2012-07-26 |
| 1588921464 | Alexsandr Fishman | Dentist | 11710 Reisterstown Rd Ste 201, Reisterstown, MD 21136 | 2012-04-18 |
| 1992000954 | Darlene L. Reaka Israel | Nurse Practitioner | 23 Chartley Park Rd, Reisterstown, MD 21136 | 2011-01-21 |
| Find all providers in zip 21136 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) 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 |
|---|---|---|---|---|
| 1063810794 | Shemika Ariel Graham | Nurse's Aide | 66 Main Brook Ct, Reisterstown, MD 21136-2204 | 2014-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912816 | Magdaleine Angum Njong | Nurse's Aide | 620 Sheridan St Apt 410, Hyattsville, MD 20783-3207 | 2020-11-06 |
| 1861093056 | Melvin Santamaria | Nurse's Aide | 3804 Allison St, Brentwood, MD 20722-1111 | 2020-11-04 |
| 1649871849 | Dorian Geraldo Lopez | Nurse's Aide | 12644 Council Oak Dr, Waldorf, MD 20601-3585 | 2020-11-04 |
| 1720689953 | Basilia Dameida | Nurse's Aide | 2 Woodland Ct Apt 303, Laurel, MD 20707-4527 | 2020-11-04 |
| 1396346532 | Lindsey Daniela Villanueva | Nurse's Aide | 2400 Queens Chapel Rd Apt 8, Hyattsville, MD 20782-3631 | 2020-11-04 |
| 1356941108 | Hortence Makouoche | Nurse's Aide | 1801 Greenwich Wood Dr Apt 11, Silver Spring, MD 20903-2104 | 2020-10-30 |
| 1538769443 | Marie Anne Ngo Nyeck | Nurse's Aide | 1836 Metzerott Rd Apt T7, Adelphi, MD 20783-3441 | 2020-10-29 |
| 1437759792 | Pauline Anne Taku | Nurse's Aide | 200 Fort Meade Rd Apt 708, Laurel, MD 20707-4428 | 2020-10-27 |
| 1811597016 | Simisola Mustapha | Nurse's Aide | 4213 Oglethorpe St Apt 101, Hyattsville, MD 20781-1540 | 2020-10-27 |
| 1558961094 | Paschalia Nehlum Atang Epse Chi | Nurse's Aide | 3817 64th Ave Apt 203, Hyattsville, MD 20784-1858 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | REISTERSTOWN |
| Zip Code | 21136 |
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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.