Active NPI
Aderonke Olajumoke Adeyemi, NP
- Family Nurse Practitioner
- Washington, DC
National Provider Identifier
1407480783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R159053
- Practice address
- 702 15TH St NE
Washington, DC 20002-4508 - Phone
- (202) 361-8842
- NPI assigned
- Feb 26, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R159053 | MD | Primary |
Addresses
Primary practice location
702 15TH St NE
Washington, DC 20002-4508
Mailing address
702 15TH St NE
Washington, DC 20002-4508
Phone (202) 361-8842
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A350031660234 | Other | MD | DRIVER'S LICENSE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R159053 | MD | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1407480783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 15TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200024508",
"telephone_number": "202-361-8842",
"fax_number": "888-502-3207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 15TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200024508",
"telephone_number": "202-361-8842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADEYEMI",
"first_name": "ADERONKE",
"middle_name": "OLAJUMOKE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-26",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R159053",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "A350031660234",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.