Individual provider Active NPI

Olubunmi Fadeke Adebisi

  • Home Health Aide
  • Lanham, MD
National Provider Identifier
1093204232
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA13458 Issued in DC
Practice address
7511 Newberry LN
Lanham, MD 20706-3768
Phone
(202) 910-3958
NPI assigned
May 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA13458 DC Primary

Addresses

Primary practice location

7511 Newberry LN
Lanham, MD 20706-3768

Mailing address

7511 Newberry LN
Lanham, MD 20706-3768
Phone (202) 910-3958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HHA13458DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1093204232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 NEWBERRY LN",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063768",
            "telephone_number": "202-910-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7511 NEWBERRY LN",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063768",
            "telephone_number": "202-910-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBISI",
        "first_name": "OLUBUNMI",
        "middle_name": "FADEKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA13458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.