Individual provider Active NPI

Oluyemisi D Ajibola

  • Licensed Practical Nurse
  • Hyattsville, MD
National Provider Identifier
1497612741
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN500020722 Issued in DC
Practice address
3993 Warner Ave Apt C6
Hyattsville, MD 20784-2053
Phone
(240) 825-6422
NPI assigned
Jan 8, 2026
Sex
Female
Sole proprietor
Yes

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
LPN500020722DCMDLicensed Practical Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN500020722 DC Primary

Addresses

NPPES NPI Registry

Primary practice location

3993 Warner Ave Apt C6
Hyattsville, MD 20784-2053

Mailing address

3993 Warner Ave Apt C6
Hyattsville, MD 20784-2053
Phone (240) 825-6422

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 8, 2026.

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1497612741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3993 WARNER AVE APT C6",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207842053",
            "telephone_number": "240-825-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3993 WARNER AVE APT C6",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207842053",
            "telephone_number": "240-825-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJIBOLA",
        "first_name": "OLUYEMISI",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "DC",
            "license": "LPN500020722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.

Verify at the official NPI Registry.