Individual provider Active NPI

Emilola Elizabeth Akeredolu, FNP

  • Family Nurse Practitioner
  • Greenbelt, MD
National Provider Identifier
1215417415
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R211332 Issued in MD
Practice address
7474 Greenway Center Dr
Greenbelt, MD 20770
Phone
(301) 441-3050
Fax
(301) 441-1148
NPI assigned
Aug 16, 2018
Last updated
Jun 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R211332 MD Primary

Addresses

Primary practice location

7474 Greenway Center Dr
Greenbelt, MD 20770

Mailing address

7474 Greenway Center Dr
Greenbelt, MD 20770-3504
Phone (301) 441-3050

Other practice location 1

12923 Trumbull Dr
Upper Marlboro, MD 20772-5257
Phone (301) 825-2913

Other practice location 2

13600 Laurel Bowie Rd
Laurel, MD 20708-1562
Phone (301) 825-2913

Other practice location 3

7474 Greenway Center Dr
Greenbelt, MD 20770
Phone (301) 441-3050

Other names 1

  • Emilola Lola Akinseye Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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

Enrollment IDStateProvider typePAC IDDetails
I20190924003066 DC Practitioner - Nurse Practitioner 4587994157 Reassigns benefits to 1 organization
I20200325000981 MD Practitioner - Nurse Practitioner 4587994157 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R211332MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

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": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1215417415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703504",
            "telephone_number": "301-441-3050",
            "fax_number": "301-441-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "20770",
            "telephone_number": "301-441-3050",
            "fax_number": "301-441-1148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12923 Trumbull Dr",
            "address_purpose": "LOCATION",
            "city": "Upper Marlboro",
            "state": "MD",
            "postal_code": "207725257",
            "country_code": "US",
            "telephone_number": "301-825-2913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13600 Laurel Bowie Rd",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207081562",
            "country_code": "US",
            "telephone_number": "301-825-2913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7474 Greenway Center Dr",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "20770",
            "country_code": "US",
            "telephone_number": "301-441-3050",
            "fax_number": "301-441-1148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKEREDOLU",
        "first_name": "EMILOLA",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R211332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILOLA",
            "last_name": "AKINSEYE",
            "middle_name": "LOLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.