Taiwo O Adeyemo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R203129 Issued in MD

Practice address

11571 Laurelwalk Dr
Laurel, MD 20708-3001

Phone

(301) 905-8522

NPI assigned

Jan 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Taiwo O Adeyemo Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Recover Healthcare Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bladensburg, MD
  • NPI 1700500998

  DC

  Medicare reassignment Authorized official
• Impact Healthcare Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Laurel, MD
  • NPI 1609676691

  Psychiatric/Mental Health

  NPD Authorized official
• Recover Healthcare Services LLC

  • Family Nurse Practitioner
  • Laurel, MD
  • NPI 1629965264
  NPD Authorized official

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1669945879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11571 LAURELWALK DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083001",
            "telephone_number": "240-646-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11571 LAURELWALK DR",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207083001",
            "telephone_number": "301-905-8522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Unity Health Care, Inc Department of Corrections",
            "address_2": "1901 D Street SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "20003",
            "country_code": "US",
            "telephone_number": "202-698-0400",
            "fax_number": "202-547-1497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEYEMO",
        "first_name": "TAIWO",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-10",
        "last_updated": "2023-01-31",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN1028137",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R203129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAIWO",
            "last_name": "ADEYEMO",
            "middle_name": "O",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Olufunke Oyeronke Adetunji, LCPC
• Shante Adewale, LCPC
• Folake A Adeyemi, CRNP
• Boladale Alimotu Adeyemo
• Ifeoluwa Samuel Adeyemo
• Pauline Jo Rago Adia
• Prince A Adibe
• Adibi Smiles
• Lolita Adjei, LCSW-C
• Admired Home Healthcare Solutions, LLC

• All providers in Laurel, MD
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.