Similade Adetunji

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

212163 Issued in MD

Practice address

1600 Belle Dr
Annapolis, MD 21401-1147

Phone

(240) 401-5260

Fax

(240) 425-4255

NPI assigned

Oct 9, 2019

Last updated

Jan 8, 2025By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• The Lily Valley Group, Inc.

  dba Lily Health and Wellness Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Annapolis, MD
  • NPI 1053067876

  DC, Family

  Medicare reassignment NPD Authorized official
• E & G Allied Home Care Agency LLC

  • Home Health Agency
  • Annapolis, MD
  • NPI 1336846369
  NPD Authorized official
• The Lily Valley Group, Inc.

  dba Lily Health and Wellness Center

  • Family Nurse Practitioner
  • Annapolis, MD
  • NPI 1679287452
  NPD Authorized official
• Gold Shield Medical Services LLC

  • Internal Medicine Physician
  • Glen Burnie, MD
  • NPI 1881201184
  NPD (past)
• Parkway Medical Association LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
  • NPI 1831846070
  NPD (past)

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1073155248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BELLE DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011147",
            "telephone_number": "240-506-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BELLE DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011147",
            "telephone_number": "240-401-5260",
            "fax_number": "240-425-4255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Belle Dr",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214011147",
            "country_code": "US",
            "telephone_number": "240-401-5260",
            "fax_number": "240-425-4255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADETUNJI",
        "first_name": "SIMILADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-09",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "212163",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1044291",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "212163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy L Adams, ARNP
• Kaysha Sherrie Addison
• Moncheri Harper Adebayo, CRNP
• Folasade Adekolurejo
• Emmanuel O Adesanya, PHARM.D.
• Olutayo O Adewumi, PA
• Elizabeth Ayotunde Adeyefa-Olasupo, OTR/L
• Adfinitas Health Palliative Services, LLC (Adfinitas Health, LLC)
• Negar Adib, PHYSICAL THERAPIST
• Aditya Chopra, MD, PC

• Psychiatric/Mental Health Nurse Practitioner in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.

Verify at the official NPI Registry.