Individual provider Active NPI

Adijat Adeyemi, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1508566423
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP1052083 Issued in DC
Practice address
508 Kennedy St NW Unit 2
Washington, DC 20011-3137
Phone
(202) 223-9630
NPI assigned
Mar 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R237091 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP1052083 DC Primary

Addresses

Primary practice location

508 Kennedy St NW Unit 2
Washington, DC 20011-3137

Mailing address

8139 Allendale Dr
Hyattsville, MD 20785-4208
Phone (240) 413-2528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2930 Starry Night PL
Nanjemoy, MD 20662-3032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP1052083DCMDPsychiatric/Mental Health Nurse Practitioner
R237091MDMDPsychiatric/Mental Health Nurse Practitioner

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22672/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1508566423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8139 ALLENDALE DR",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207854208",
            "telephone_number": "240-413-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 KENNEDY ST NW UNIT 2",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113137",
            "telephone_number": "202-223-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEYEMI",
        "first_name": "ADIJAT",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R237091",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1052083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.