Abimbola Shadare

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP1042439 Issued in DC

Practice address

4312 Arabella CT
Upper Marlboro, MD 20772-9343

Phone

(240) 593-2260

NPI assigned

Jun 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD, NJ, NV, AZ5 enrollments

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 5

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Supportive Care of Maryland LLCGroup PAC ID 9234460999, 38 clinicians

Spiritual HealingGroup PAC ID 7113388802, 22 clinicians

Toller Enterprises, LLCGroup PAC ID 8628481926, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Fawpearls Health Services LLC

  • Clinic/Center
  • Hyattsville, MD
  • NPI 1053201640

  DC, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Spiritual Healing

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1003502337

  DC

  Medicare reassignment Care Compare group NPD
• Supportive Care of Maryland LLC

  • Psychologist
  • Riverdale, MD
  • NPI 1447802616
  Medicare reassignment Care Compare group NPD
• Toller Enterprises LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1821697533

  DC

  Medicare reassignment Care Compare group NPD
• Elevate Health Solutions, LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1437974961

  Nurse Practitioner

  Medicare reassignment NPD
• Florence Eze Primary Care Clinic

  • Gerontology Nurse Practitioner
  • Washington, DC
  • NPI 1134633019
  Medicare reassignment NPD
• Gio Health Services Inc.

  • Mental Health Counselor
  • Washington, DC
  • NPI 1780491175
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC, Psychiatric/Mental Health

  Medicare reassignment NPD
• Fawpearls Health Services LLC

  • Health Service Clinic/Center
  • Oakland, MD
  • NPI 1417802000
  NPD Authorized official
• Access Health Services

  • Multi-Specialty Clinic/Center
  • Lanham, MD
  • NPI 1427591569

  DC

  Medicare reassignment
• Ez Health Primary and Behavioral Health LLC

  • Adult Health Nurse Practitioner
  • Baltimore, MD
  • NPI 1730975285
  Medicare reassignment
• Integrahealth LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockville, MD
  • NPI 1194513234

  DC

  Medicare reassignment

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1508559675",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 ARABELLA CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207729343",
            "telephone_number": "240-593-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADARE",
        "first_name": "ABIMBOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1042439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serving You Homecare
• Abibatu Sesay
• Kadiatu Sesay
• Oriana A. Severino de la Cruz
• Mamadou Aly Seydi
• Sapan Hemant Shah, M.D.
• Latoya Shallow, PMHNP-BC
• Shalom Homes, Inc
• Shalom Nursing Care Inc
• Sharon Russell DDS PC

• Psychiatric/Mental Health Nurse Practitioner in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.