Active NPI
Olanireti Onabanjo, NURSE PRACTITIONER
- Family Nurse Practitioner
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R208320
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| R208320 | MD | MD | Nurse Practitioner |
| 0024179218 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Columbia, MD
- NPI 1912880865
-
- Primary Care Nurse Practitioner
- Ellicott City, MD
- NPI 1174168033
-
- Family Nurse Practitioner
- Columbia, MD
- NPI 1700566973
-
- Family Nurse Practitioner
- Woodstock, MD
- NPI 1164363313
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ellicott City, MD
- NPI 1275245680
-
dba NRH Rehabilitation Network at Bethesda
- Rehabilitation Clinic/Center
- Bethesda, MD
- NPI 1457354748
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- Tolulope Olubunmi Omojokun, MD
- Mary Olamide Omoniyi
- Raolat Omowarere, PHARMD
- Sajidah Mahmoud Omran, PT, DPT
- On Point Mobile Phlebotomy Services, LLC
- Yewande Onabanjo
- One Heart Health and Wellness (Arise Health Clinic)
- One Heart Health and Wellness
- One Heart Health and Wellness (Arise Health Clinic)
- One Heart Health and Wellness (Arise Health Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.