OMOKOREDE FATILE NPI 1275256992

NPI Information

  • NPI: 1275256992
  • Provider Name: OMOKOREDE FATILE
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1515 REISTERSTOWN RD STE 304
    PIKESVILLE, MD
    ZIP 21208
  • Phone: (718) 749-4346

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NPI Details

Omokorede Fatile is a psychiatric/mental health nurse practitioner in Pikesville, MD with 4 years of experience. Omokorede Fatile NPI is 1275256992. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1515 REISTERSTOWN RD STE 304
PIKESVILLE, MD
ZIP 21208-336
Phone: (718) 749-4346

The NPI 1275256992 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/20/2022 and was last updated on 8/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364SP0809XClinical Nurse SpecialistPsychiatric/Mental Health, AdultR214086MARYLANDNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthR214086MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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