Active NPI
Abiade Ogunsola
- Registered Dietitian
- Greenbelt, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L005908
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aogunsola791474@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00997559 | NJ | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthbeam Consulting LLC | Current | 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.