Adebola Adelaiye

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

APRN03296 Issued in RI

Practice address

10 Dorrance St
Providence, RI 02903-2018

Phone

(401) 200-8242

Fax

(401) 415-0418

NPI assigned

Dec 13, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Adebola C Adesanmi Former name

Medicare fee-for-service enrollment

Enrolled in RI

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.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Supportive Care I of Rhode Island PC 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adebola.adelaiye.1@27890.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emmanuel Medical Services LLC

  • Nurse Practitioner
  • North Providence, RI
  • NPI 1215645742

  RI

  Medicare reassignment NPD Authorized official
• Supportive Care I of Rhode Island PC

  • Clinical Psychologist
  • Providence, RI
  • NPI 1912666454

  RI

  Medicare reassignment Care Compare group NPD
• Prospect Chartercare Physicians, LLC

  • Internal Medicine Physician
  • Cranston, RI
  • NPI 1629493135

  RI

  Medicare reassignment NPD
• Blueprint Healthcare LLC

  • Internal Medicine Physician
  • Fitchburg, MA
  • NPI 1467927483

  RI

  Medicare reassignment NPD
• Emmanuel Medical Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Providence, RI
  • NPI 1861274813
  NPD
• Alignmed Partners, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452
  NPD

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1427489657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DORRANCE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029032018",
            "telephone_number": "401-200-8242",
            "fax_number": "401-782-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DORRANCE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029032018",
            "telephone_number": "401-200-8242",
            "fax_number": "401-415-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELAIYE",
        "first_name": "ADEBOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN45445",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "NPP37791",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN03296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADEBOLA",
            "last_name": "ADESANMI",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Adaptive Prosthetics & Orthotics LLC
• Ashley L Addison, BA, LCDP, CCSP
• Stephen Thomas Addy, CAGS, LMHC
• Munirat Omodele Adebimpe, PMHNP-BC
• Olulayole Adedeji
• Haneefat Oluwaseun Adelakun
• Cameron B Adelman, PA
• Jennifer R Adelson-Mitty, MD
• Rachel Adesina
• Adebimpe Olubusayo Adewusi, MD

• All providers in Providence, RI
• Psychiatric/Mental Health Clinical Nurse Specialist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.