Active NPI
Fawpearls Health Services LLC
- Health Service Clinic/Center
- Oakland, MD
National Provider Identifier
1417802000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- FAWPEARLS HEALTH SERVICES LLC
- Practice address
- 5000 Thayer Ctr Ste C
Oakland, MD 21550-1139 - Phone
- (240) 593-2260
- NPI assigned
- Feb 28, 2026
- Organization subpart
- Yes
- Parent organization
- FAWPEARL HEALTH SERVICES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abimbola Rachael Shadare, APRN, PMHNP
- Title
- Ceo
- Phone
- (240) 593-2260
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
5000 Thayer Ctr Ste C
Oakland, MD 21550-1139
Mailing address
4312 Arabella CT
Upper Marlboro, MD 20772-9343
Phone (240) 593-2260
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Upper Marlboro, MD
- NPI 1508559675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772236800000",
"number": "1417802000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4312 ARABELLA CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207729343",
"telephone_number": "240-593-2260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 THAYER CTR STE C",
"city": "OAKLAND",
"state": "MD",
"postal_code": "215501139",
"telephone_number": "240-593-2260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAWPEARLS HEALTH SERVICES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FAWPEARL HEALTH SERVICES LLC",
"enumeration_date": "2026-02-28",
"last_updated": "2026-02-28",
"certification_date": "2026-02-28",
"status": "A",
"authorized_official_last_name": "SHADARE",
"authorized_official_first_name": "ABIMBOLA",
"authorized_official_middle_name": "RACHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "240-593-2260",
"authorized_official_credential": "APRN, PMHNP"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.