Individual provider Active NPI

Ololade Ayomide Adekoya, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1144686569
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R200359 Issued in MD
Practice address
7845 Oakwood Rd Ste 205
Glen Burnie, MD 21061-4257
Phone
(240) 223-0633
NPI assigned
Jan 14, 2016
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R200359 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024176595 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R200359 MD Primary

Addresses

Primary practice location

7845 Oakwood Rd Ste 205
Glen Burnie, MD 21061-4257

Mailing address

7845 Oakwood Rd Ste 205
Glen Burnie, MD 21061-4257
Phone (240) 223-0633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160225002162 DC Practitioner - Nurse Practitioner 0648575837 Reassigns benefits to 1 organization
I20160226001576 MD Practitioner - Nurse Practitioner 0648575837 Reassigns benefits to 3 organizations
I20250318001009 VA Practitioner - Nurse Practitioner 0648575837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Backpack Medical Group, P.C.Group PAC ID 6507217742, 10 clinicians
Valor Health IncGroup PAC ID 6709206337, 5 clinicians

Practice addresses (Care Compare)

1453 N Rolling Rd
Catonsville, MD 21228-1104
Phone (866) 968-6342

20414 Rosemallow CT
Sterling, VA 20165-7569
Phone (866) 968-6342

7845 Oakwood Rd
Suite 205
Glen Burnie, MD 21061-4257
Phone (240) 223-0633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Feb 8, 2016 Accepting new patients
Valor Health Inc. Family CurrentSince Aug 1, 2020 Accepting new patients
Valor Health Inc Psychiatric/Mental Health CurrentSince Oct 1, 2020 Accepting new patients
Backpack Medical Group, P.C. Psychiatric/Mental Health CurrentSince Sep 28, 2024 Accepting new patients
Linnel Inc Psychiatric/Mental Health PastSince Sep 5, 2023 Accepting new patients

Locations

2601 Riva Rd
Annapolis, MD 21401
Phone (410) 571-2090

1453 N Rolling Rd
Catonsville, MD 21228
Phone (410) 455-5461

10095 Ward Rd
Dunkirk, MD 20754
Phone (410) 257-0191

7845 Oakwood Rd
Ste 205
Glen Burnie, MD 21061
Phone (240) 223-0633

7955 Tuckerman Ln
Rockville, MD 20854
Phone (301) 299-3717

Interoperability endpoints

  • Direct secure messaging: ololade.adekoya.1@32712.direct.athenahealth.com

Organizations & group practices 5

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": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1144686569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7845 OAKWOOD RD STE 205",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614257",
            "telephone_number": "240-223-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7845 OAKWOOD RD STE 205",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614257",
            "telephone_number": "240-223-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEKOYA",
        "first_name": "OLOLADE",
        "middle_name": "AYOMIDE",
        "name_prefix": "Ms.",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R200359",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024176595",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R200359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.