Individual provider Active NPI

Silifat Abeke Adepetu

  • Psychiatric/Mental Health Nurse Practitioner
  • Bladensburg, MD
National Provider Identifier
1366070617
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R203840 Issued in MD
Practice address
5802 Annapolis Rd Apt 1006
Bladensburg, MD 20710-2077
Phone
(301) 531-0475
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R203840 MD Primary

Addresses

Primary practice location

5802 Annapolis Rd Apt 1006
Bladensburg, MD 20710-2077

Mailing address

5802 Annapolis Rd Apt 1006
Bladensburg, MD 20710-2077
Phone (301) 531-0475

Other names 1

  • Silifat Abeke Adepetu Professional name

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

State licenses

LicenseStateTypeSpecialty
R203840MDMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1366070617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 ANNAPOLIS RD APT 1006",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207102077",
            "telephone_number": "301-531-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 ANNAPOLIS RD APT 1006",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207102077",
            "telephone_number": "301-531-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEPETU",
        "first_name": "SILIFAT",
        "middle_name": "ABEKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R203840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SILIFAT",
            "last_name": "ADEPETU",
            "middle_name": "ABEKE",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bladensburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.