JOHNSON KOMOLAFE NP
NPI 1174540504
Nurse Practitioner - Psychiatric/Mental Health in Springfield, VA

NPI Status: Active since July 15, 2006

Contact Information

7011 CALAMO ST
#105
SPRINGFIELD, VA
ZIP 22150
Phone: (301) 670-4250

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  • Individual
  • Male
  • Nurse Practitioner
  • Psychiatric/Mental Health

About JOHNSON KOMOLAFE

This page provides the complete NPI Profile along with additional information for Johnson Komolafe, a provider established in Springfield, Virginia with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1174540504 assigned on July 2006. The practitioner's primary taxonomy code is 363LP0808X with license number R123830 (MD). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1174540504
Provider Name
JOHNSON KOMOLAFE NP
Gender
Male
Entity Type
Individual
Location Address
7011 CALAMO ST #105 SPRINGFIELD, VA 22150
Location Phone
(301) 670-4250
Mailing Address
PO BOX 8057 ALEXANDRIA, VA 22306
Is Sole Proprietor?
No
Enumeration Date
07-15-2006
Last Update Date
07-08-2007
Code Navigator

A nurse practitioner (NP) like Johnson Komolafe is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
R123830
License State
MD

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
490745MEDICARE ID-TYPE UNSPECIFIED (04)DC METRO

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174540504
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144104050
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 0 + 4 + 0 + 5 + 0 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1174540504 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346267770MS. EUNICE OKORO NP
Individual
Nurse Practitioner (Psychiatric/Mental Health)7011 CALAMO ST STE 105
SPRINGFIELD, VA 22150
(703) 569-8028
1821015264BENJAMIN ADEWALE MD PC
Organization
Psychiatry & Neurology (Neurology)7011 CALAMO ST #105
SPRINGFIELD, VA 22150
(703) 569-8028
1790702132DR. BENJAMIN A ADEWALE MD
Individual
Psychiatry & Neurology (Neurology)7011 CALAMO ST #105
SPRINGFIELD, VA 22150
(703) 569-8028

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174540504, enumerated in the NPI registry as an "individual" on July 15, 2006

The provider is located at 7011 Calamo St #105 Springfield, Va 22150 and the phone number is (301) 670-4250

The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 15, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.