Individual provider Active NPI

Bolanle Akinrebiyo

  • Family Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1043925837
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022069367 Issued in MD
Practice address
10133 Summer Glow Walk
Laurel, MD 20723-5876
Phone
(202) 631-7228
NPI assigned
Jan 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2022069367 MD Primary

Addresses

Primary practice location

10133 Summer Glow Walk
Laurel, MD 20723-5876

Mailing address

10133 Summer Glow Walk
Laurel, MD 20723-5876
Phone (202) 631-7228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022069367MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comforthealth LLC CurrentSince Sep 3, 2025 Accepting new patients
Comfort Health Inc CurrentSince Oct 13, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bolanle.akinrebiyo.1@28492.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1043925837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10133 SUMMER GLOW WALK",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207235876",
            "telephone_number": "202-631-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10133 SUMMER GLOW WALK",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207235876",
            "telephone_number": "202-631-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINREBIYO",
        "first_name": "BOLANLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "2022069367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.