Individual provider Active NPI

Abiade Ogunsola

  • Registered Dietitian
  • Greenbelt, MD
National Provider Identifier
1609232867
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L005908 Issued in NC
Practice address
8955 Edmonston Rd Ste D
Greenbelt, MD 20770-4043
Phone
(301) 882-8700
Fax
(301) 882-8820
NPI assigned
Jan 4, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 00997559 NJ
Registered Dietitian 133V00000X DX6261 MD
Registered Dietitian 133V00000X L005908 NC Primary

Addresses

Primary practice location

8955 Edmonston Rd Ste D
Greenbelt, MD 20770-4043

Mailing address

8955 Edmonston Rd Ste D
Greenbelt, MD 20770-4043
Phone (301) 882-8700

Other practice location 1

53 Quaker Rd
Mickleton, NJ 08056-1306
Phone (302) 632-5260

Other practice location 2

1718 E 4th St Ste 207
Charlotte, NC 28204-3291
Phone (704) 384-7390

Other practice location 3

11300 Cresthill Dr Ste 100
Mint Hill, NC 28227-7924
Phone (980) 302-8500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aogunsola791474@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240130001794 DC Practitioner - Registered Dietitian Or Nutrition Professional 6608129242 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00997559NJMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Healthbeam Consulting LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

10901 Rhode Island Ave
Unit 1892
Beltsville, MD 20704

8955 Edmonston Rd
Ste D
Greenbelt, MD 20770
Phone (301) 882-8700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1609232867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8955 EDMONSTON RD STE D",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207704043",
            "telephone_number": "301-882-8700",
            "fax_number": "301-882-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 EDMONSTON RD STE D",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207704043",
            "telephone_number": "301-882-8700",
            "fax_number": "301-882-8820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 Quaker Rd",
            "address_purpose": "LOCATION",
            "city": "Mickleton",
            "state": "NJ",
            "postal_code": "080561306",
            "country_code": "US",
            "telephone_number": "302-632-5260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1718 E 4th St Ste 207",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282043291",
            "country_code": "US",
            "telephone_number": "704-384-7390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11300 Cresthill Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mint Hill",
            "state": "NC",
            "postal_code": "282277924",
            "country_code": "US",
            "telephone_number": "980-302-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGUNSOLA",
        "first_name": "ABIADE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NJ",
            "license": "00997559",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX6261",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L005908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aogunsola791474@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "53 Quaker Rd",
            "city": "Mickleton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080561306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.