FOLASHADE FAMODU (NPI# 1679014641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679014641 |
| Entity Type | Individual |
| Full Name | FOLASHADE FAMODU |
| Practice Address |
33 Chestnut Hill Rd Forest Hill MD 21050-1515 |
| Practice Telephone | 4438036458 |
| Mailing Telephone | 4438036458 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R175637 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
33 CHESTNUT HILL RD |
| City | FOREST HILL |
| State | MD |
| Zip Code | 21050-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336612860 | Phoenix Speech Therapy, LLC | Speech-Language Pathologist | 1115 Darlene Road, Forest Hill, MD 21050 | 2019-01-08 |
| 1144790916 | Jennifer Lee Handrahan | Nurse Practitioner | 310 Betty Court, Forest Hill, MD 21050 | 2018-12-04 |
| 1235645995 | Harford County Maryland | Ambulance | 2220 Ady Rd, Forest Hill, MD 21050 | 2017-12-18 |
| 1922532928 | Toni Dominique Mcdowell | Nurse Practitioner | 1528 Rock Spring Rd, Forest Hill, MD 21050 | 2017-04-17 |
| 1154785608 | Lindsay Burke | Occupational Therapist | 138 Industry Lane, Unit 5a, Pediatric Mobility, LLC, Bel Air, MD 21050 | 2016-04-11 |
| 1043674898 | Statcare Group II, PC | Clinic/Center | 788 South Philadelphia Road, Aberdeen, MD 21050 | 2016-04-07 |
| 1619330818 | Statcare Group II, PC | Clinic/Center | 1528 Rock Spring Road, Suite 100, Forest Hill, MD 21050 | 2016-04-04 |
| 1972907988 | Betsy Dean | Speech-Language Pathologist | 138 Industry Ln, Unit 5a, Pediatric Mobility, LLC, Forest Hill, MD 21050 | 2014-10-20 |
| 1619178282 | Maryland Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1519 Rock Spring Road, Forest Hill, MD 21050 | 2007-05-30 |
| 1366596280 | Mark Alan Hedlund | Psychologist | 2003 Rockspring Rd, Forest Hill, MD 21050 | 2007-01-22 |
| Find all providers in zip 21050 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1992304372 | Catherine Koskei | Nurse Practitioner | 2295 Lowell Ridge Rd Apt B, Parkville, MD 21234-2370 | 2020-10-18 |
| 1194323857 | Meliora Davies | Nurse Practitioner | 206 Settlers Way, Upper Marlboro, MD 20774-5770 | 2020-10-14 |
| 1932707171 | David Mwangi | Nurse Practitioner | 27 Blue Spire Cir, Middle River, MD 21220-1743 | 2020-10-10 |
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1639776446 | Serenity Heart Healthcare, LLC | Nurse Practitioner | 6755 Business Pkwy Ste 304, Elkridge, MD 21075-6740 | 2020-10-05 |
| 1689281529 | Premier Psychiatry, LLC | Nurse Practitioner | 10601 Virginia Ave, Cockeysville, MD 21030-2315 | 2020-09-24 |
| 1407462559 | Mem Scepter Home & Behavioral | Nurse Practitioner | 14104 Dawn Whistle Way, Bowie, MD 20721-1304 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | FOREST HILL |
| Zip Code | 21050 |
Please comment or provide details below to improve the information on FOLASHADE FAMODU.
| 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.