Modupe Adekunle

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R213801 Issued in MD

Practice address

4000 Blackburn LN Ste 150
Burtonsville, MD 20866-6127

Phone

(301) 421-4241

Fax

(410) 696-3696

NPI assigned

Mar 10, 2021

Last updated

Feb 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1356926455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 BLACKBURN LN",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661104",
            "telephone_number": "301-421-4241",
            "fax_number": "410-696-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 BLACKBURN LN STE 150",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666127",
            "telephone_number": "301-421-4241",
            "fax_number": "410-696-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEKUNLE",
        "first_name": "MODUPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024181084",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1037670",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R213801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manahlosh Degu Abegaz, CNA
• Adama Abu
• Hannah Acquah, NP-C
• Lolali Adade-Helledy, PMHNP-BC
• Gary Deane Adams, D.D.S.
• Advita Health LLC
• Akpene Novile Agbegninou
• Junior Agbor
• Gloria Aghanya
• Ahuman Touch Distric

• Psychiatric/Mental Health Nurse Practitioner in Burtonsville, MD
• Providers in Burtonsville, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.