Individual provider Active NPI

Olanireti Onabanjo, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1316156391
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R208320 Issued in MD
Practice address
9650 Santiago Rd Ste 109
Columbia, MD 21045-3958
Phone
(240) 732-1009
Fax
(240) 755-0102
NPI assigned
May 22, 2007
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R208320 MD
Family Nurse Practitioner 363LF0000X R208320 MD Primary
Family Nurse Practitioner 363LF0000X 0024179218 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R208320 MD

Addresses

Primary practice location

9650 Santiago Rd Ste 109
Columbia, MD 21045-3958

Mailing address

9650 Santiago Rd Ste 109
Columbia, MD 21045-3958
Phone (240) 732-1009

Other practice location 1

10296 Baltimore National Pike Ste A
Ellicott City, MD 21042-3670
Phone (240) 732-1009

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
I20190625001193 MD Practitioner - Nurse Practitioner 0345574307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10296 Baltimore National Pike
Suite a
Ellicott City, MD 21042-3670
Phone (240) 732-1009

6410 Rockledge Dr
Bethesda, MD 20817-1844

9650 Santiago Rd
Suite 109
Columbia, MD 21045-3958
Phone (240) 732-1009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R208320MDMDNurse Practitioner
0024179218VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rightplace Family Clinic Family Current Accepting new patients
Trumind Behavioral Health Clinic Limited Liability Company Psychiatric/Mental Health Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9650 Santiago Rd
Ste 108
Columbia, MD 21045
Phone (240) 732-1009

9650 Santiago Rd
Ste 109
Columbia, MD 21045
Phone (240) 732-1009

Organizations & group practices 7

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1316156391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 SANTIAGO RD STE 109",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453958",
            "telephone_number": "240-732-1009",
            "fax_number": "240-755-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 SANTIAGO RD STE 109",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453958",
            "telephone_number": "240-732-1009",
            "fax_number": "240-755-0102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10296 Baltimore National Pike Ste A",
            "address_purpose": "LOCATION",
            "city": "Ellicott City",
            "state": "MD",
            "postal_code": "210423670",
            "country_code": "US",
            "telephone_number": "240-732-1009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONABANJO",
        "first_name": "OLANIRETI",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R208320",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R208320",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179218",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R208320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.