Individual provider Active NPI

Adebunmi Sanwoola, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1053011593
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R245724 Issued in MD
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

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241206003592 MD Practitioner - Nurse Practitioner 3870029382 Reassigns benefits to 3 organizations

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
Ability and Empowerment Services IncGroup PAC ID 8426574989, 5 clinicians
BCB Liberty Health Care LLCGroup PAC ID 8426428301, 3 clinicians

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

LicenseStateTypeSpecialty
NP1062283DCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Mind Foundation Africa Limited CurrentSince Nov 1, 2024 Accepting new patients
BCB Liberty Health Care LLC Psychiatric/Mental Health CurrentSince Sep 22, 2025 Accepting new patients
Ability & Empowerment Services Inc CurrentSince Mar 16, 2025 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.

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

Verify at the official NPI Registry.