Individual provider Active NPI

Iyabode Adebule

  • Psychiatric/Mental Health Nurse Practitioner
  • Linthicum, MD
National Provider Identifier
1194553727
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R224960 Issued in MD
Practice address
518 S Camp Meade Rd Ste 1
Linthicum, MD 21090-2766
Phone
(443) 929-6638
NPI assigned
Jul 24, 2024
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R224960 MD Primary

Addresses

Primary practice location

518 S Camp Meade Rd Ste 1
Linthicum, MD 21090-2766

Mailing address

902 Kendsha CT
Gambrills, MD 21054-1628
Phone (443) 929-6638

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
I20241205000756 MD Practitioner - Nurse Practitioner 7810423555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Transit Health LLC.Group PAC ID 1052758083, 2 clinicians

Practice addresses (Care Compare)

518 S Camp Meade Rd
Suite 1
Linthicum Heights, MD 21090-2766
Phone (443) 623-3592

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha New Hope Health Services CurrentSince Oct 25, 2024 Accepting new patients
Transit Health LLC. CurrentSince Aug 17, 2025 Accepting new patients

Locations

2319 Maryland Ave
#B
Baltimore, MD 21218
Phone (443) 453-6719

518 S Camp Meade Rd
Ste 1
Linthicum Heights, MD 21090
Phone (410) 859-0355

Organizations & group practices 2

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": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1194553727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 KENDSHA CT",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541628",
            "telephone_number": "443-929-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 S CAMP MEADE RD STE 1",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902766",
            "telephone_number": "443-929-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBULE",
        "first_name": "IYABODE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R224960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linthicum, MD

Sources for this page

Verify at the official NPI Registry.