Kikelomo Adewunmi

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R207261 Issued in MD

Practice address

3240 Belair Rd
Baltimore, MD 21213-1228

Phone

(410) 878-0655

Fax

(410) 878-0614

NPI assigned

Mar 21, 2019

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Affiliated Sante GroupGroup PAC ID 4385546639, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Affiliated Sante Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Silver Spring, MD
  • NPI 1083720569

  DC

  Medicare reassignment Care Compare group NPD
• Remarkable Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bowie, MD
  • NPI 1659956340

  DC, Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Affiliated Sante Group

  • Mental Health Counselor
  • Silver Spring, MD
  • NPI 1043485089
  NPD (past)
• Complete Healthcare, LLC

  • Pediatrics Physician
  • Linthicum, MD
  • NPI 1497955967
  NPD (past)

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1548720071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131228",
            "telephone_number": "410-878-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 BELAIR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212131228",
            "telephone_number": "410-878-0655",
            "fax_number": "410-878-0614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 N Hammonds Ferry Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Linthicum",
            "state": "MD",
            "postal_code": "210901317",
            "country_code": "US",
            "telephone_number": "410-789-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEWUNMI",
        "first_name": "KIKELOMO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R207261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bosede O Adetunji Idowu
• Emmanuel Adewara
• Adewunmi Adewole
• Abimbola Yewande Adewumi
• Aboluwade Oyinkansola Adewumi, MD
• Temitayo Adewuyi, BDS, MPH
• Olabisi Janet Adeyemi, PHARMD
• Karen-Michelle Adeyemo
• Monsurat Tayo Adeyemo, MD
• Samuel Ayodeji Adeyemo, MD

• Psychiatric/Mental Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, 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 Jun 11, 2019; 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.