Fawpearls Health Services LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FAWPEARLS HEALTH SERVICES LLC

Practice address

8301 Professional PL
Hyattsville, MD 20785-2237

Phone

(301) 532-5849

NPI assigned

Jul 7, 2025

Organization subpart

No

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

Authorized official

Name

Abimbola Shadare, NPNPI 1508559675

Title

Nurse Practitioner

Phone

(240) 593-2260

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abimbola Shadare

  • Psychiatric/Mental Health Nurse Practitioner
  • Upper Marlboro, MD
  • NPI 1508559675

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1053201640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 ARABELLA CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207729343",
            "telephone_number": "240-593-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 PROFESSIONAL PL",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852237",
            "telephone_number": "301-532-5849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8000 Iliff Dr",
            "address_purpose": "LOCATION",
            "city": "Dunn Loring",
            "state": "VA",
            "postal_code": "220271235",
            "country_code": "US",
            "telephone_number": "240-593-2260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1095 Sugarview Dr Ste 1005386",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828015386",
            "country_code": "US",
            "telephone_number": "240-593-2260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAWPEARLS HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "SHADARE",
        "authorized_official_first_name": "ABIMBOLA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "240-593-2260",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.