Olushola Taiwo Adekoya, NP, F09200899

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F09200899 Issued in MD

Practice address

6909 Crossfield CT
Clarksville, MD 21029-1749

Phone

(240) 381-6159

NPI assigned

Oct 29, 2020

Last updated

Oct 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GFBCCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capital Area Renal Associates, PC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1871641365
  Medicare reassignment NPD
• Sage Hollow Health PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Shelton, CT
  • NPI 1003700071
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1043810849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 CROSSFIELD CT",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291749",
            "telephone_number": "240-381-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 CROSSFIELD CT",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291749",
            "telephone_number": "240-381-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEKOYA",
        "first_name": "OLUSHOLA",
        "middle_name": "TAIWO",
        "name_prefix": "Mrs.",
        "credential": "NP, F09200899",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "F09200899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shabana Abdullah, LCSW-C
• Sheeba Kalaiselvi Abraham
• Chaunell Lucretia Abrams, PT, DPT
• Francoise Abrams, MD
• Jeffrey Stuart Abrams, M.D
• Pratibha Agarwal, MPT
• Ahmed Al Qaisi, PHARMD
• Alavi Medical Services, P.C.
• Alliance Behavioral Therapy Solutions LLC
• Ijeoma Amadiegwu, PHARMD

• Family Nurse Practitioner in Clarksville, MD
• Providers in Clarksville, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.