Individual provider Active NPI

Gloria Ijeoma Nwosu-Adigwe, FNP, RN, O.T.

  • Family Nurse Practitioner
  • Upper Marlboro, MD
National Provider Identifier
1336456649
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R245492 Issued in MD
Practice address
13005 Bressler Way
Upper Marlboro, MD 20772-6106
Phone
(301) 574-0020
NPI assigned
Sep 8, 2010
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R245492 MD Primary
Registered Nurse 163W00000X R245492 MD
Occupational Therapist 225X00000X OT010000519 DC
Occupational Therapist 225X00000X 06046 MD

Addresses

Primary practice location

13005 Bressler Way
Upper Marlboro, MD 20772-6106

Mailing address

2045 Grist Mill LN
Prince Frederick, MD 20678-3858
Phone (301) 646-1859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R245492MDMDRegistered Nurse
OT010000519DCMDOccupational Therapist
06046MDMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1336456649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 GRIST MILL LN",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783858",
            "telephone_number": "301-646-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 BRESSLER WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207726106",
            "telephone_number": "301-574-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOSU-ADIGWE",
        "first_name": "GLORIA",
        "middle_name": "IJEOMA",
        "name_prefix": "Mrs.",
        "credential": "FNP, RN, O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-08",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R245492",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R245492",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "OT010000519",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "06046",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.