Active NPI
Adebunmi Sanwoola, CRNP
- Psychiatric/Mental Health Nurse Practitioner
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R245724
- Practice address
- 1221 Taylor St NW
Washington, DC 20011-5617 - Phone
- (202) 464-9200
- NPI assigned
- Mar 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R245724 | MD | Primary |
| Nurse Practitioner | 363L00000X | NP1062283 | DC |
Addresses
Primary practice location
1221 Taylor St NW
Washington, DC 20011-5617
Mailing address
515 Cranston Ave
Upper Marlboro, MD 20774-8456
Phone (301) 526-6486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 N Charles St
Suite 701
Baltimore, MD 21201-3731
Phone (202) 758-8840
7410 Rigby PL
Elkridge, MD 21075-7287
Phone (202) 388-4300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP1062283 | DC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Mind Foundation Africa Limited | Current | Accepting new patients | |
| BCB Liberty Health Care LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Ability & Empowerment Services Inc | Current | Accepting new patients |
Locations
1 N Charles St
Ste 701
Baltimore, MD 21201
Phone (202) 758-8840
5505 Reisterstown Rd
Baltimore, MD 21215
Phone (301) 541-7178
8101 Sandy Spring Rd
Ste 300W29
Laurel, MD 20707
Phone (443) 493-7985
Organizations & group practices 3
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Baltimore, MD
- NPI 1083304901
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1518688100
Psychiatric/Mental Health
-
- Community/Behavioral Health Agency
- Laurel, MD
- NPI 1184218596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1053011593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 CRANSTON AVE",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207748456",
"telephone_number": "301-526-6486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 TAYLOR ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200115617",
"telephone_number": "202-464-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANWOOLA",
"first_name": "ADEBUNMI",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-03",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R245724",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DC",
"license": "NP1062283",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.