Active NPI
Olayemi Abiola Adurota, DNP, PMHNP-BC, FNP-C
- Psychiatric/Mental Health Nurse Practitioner
- Upper Marlboro, MD
National Provider Identifier
1437524899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R201105
- Practice address
- 13400 Edgemeade Rd
Upper Marlboro, MD 20772-8088 - Phone
- (240) 825-9529
- NPI assigned
- Dec 9, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R201105 | MD | Primary |
| Family Nurse Practitioner | 363LF0000X | R201105 | MD |
Addresses
Primary practice location
13400 Edgemeade Rd
Upper Marlboro, MD 20772-8088
Mailing address
4001 Pendennis CT
Upper Marlboro, MD 20772-8304
Phone (240) 825-9529
Other practice location 1
16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Phone (240) 753-7276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R201105 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin Ave Psychiatric Center Inc | Psychiatric/Mental Health | Current | Accepting new patients |
| Luminox Healthcare Services LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
4228 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 885-5600
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Upper Marlboro, MD
- NPI 1518669688
DC, Psychiatric/Mental Health
-
dba Psychiatric Institute of Washington
- Psychiatric Hospital
- Washington, DC
- NPI 1871549949
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1437524899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 PENDENNIS CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207728304",
"telephone_number": "240-825-9529",
"fax_number": "240-753-7279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13400 EDGEMEADE RD",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207728088",
"telephone_number": "240-825-9529"
}
],
"practiceLocations": [
{
"address_1": "16701 Melford Blvd Ste 400",
"address_purpose": "LOCATION",
"city": "Bowie",
"state": "MD",
"postal_code": "207154411",
"country_code": "US",
"telephone_number": "240-753-7276",
"fax_number": "240-753-7279",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADUROTA",
"first_name": "OLAYEMI",
"middle_name": "ABIOLA",
"name_prefix": "Miss",
"credential": "DNP, PMHNP-BC, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-09",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R201105",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R201105",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Marlboro, MD
- Adolfo Advisory, LLC (Pathways To Breakthroughs)
- Adonai Counseling Ministries
- Adonai Legacy Community Supports, Inc
- Adoration Home Health Care Maryland, LLC (Adoration home Health Marlboro)
- Adroit Healthcare Services LLC
- Advance Assisted Care (Advance Assisted Care Limited Liability Company)
- Advanced Asthma Allergy and Sinus Center P.C.
- Advanced Woundcare on Wheels LLC
- Adventist Hospital-Base Providers
- Adventist Hospital-Based Providers
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.