Adedayo Adekemisola Ekundayo, PHD CRNP CCRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R091648 Issued in MD

Practice address

7309 Baltimore Ave Ste 220
College Park, MD 20740-3200

Phone

(301) 892-6296

Fax

(301) 746-0551

NPI assigned

Nov 28, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Adedayo Adekemisola Ekundayo Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adedayo.ekundayo@316769359167492.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  DC, MD, Nurse Practitioner

  Medicare reassignment NPD
• Life Care Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1194275172
  NPD (past)

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1225508682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7309 BALTIMORE AVE STE 220",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403200",
            "telephone_number": "301-892-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7309 BALTIMORE AVE STE 220",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207403200",
            "telephone_number": "301-892-6296",
            "fax_number": "301-746-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKUNDAYO",
        "first_name": "ADEDAYO",
        "middle_name": "ADEKEMISOLA",
        "name_prefix": "Dr.",
        "credential": "PHD CRNP CCRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN1014953",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R091648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADEDAYO",
            "last_name": "EKUNDAYO",
            "middle_name": "ADEKEMISOLA",
            "prefix": "DR.",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael Todd Eckert II, M.S. ATC
• Clinton Ego
• Bernadette I Egwu
• Godwin Ndive Eko, HHA
• Solomon Ekomteh
• Elaine Ellis Center of Health
• Elaine Ellis Center of Health, Inc.
• Scott A Ellis, MS, ATC
• Helina Airoboma Esene, NP
• Cecile Eleh Edie Etoke

• Nurse Practitioner in College Park, MD
• Providers in College Park, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.