Individual provider Active NPI

Olubusayo Abayomi Ajayi, FNP-BC

  • Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1699618587
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R242362 Issued in MD
Practice address
1916 Crain Hwy S Ste 10
Glen Burnie, MD 21061-5565
Phone
(410) 760-0098
NPI assigned
Apr 14, 2026
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R242362 MD Primary

Addresses

Primary practice location

1916 Crain Hwy S Ste 10
Glen Burnie, MD 21061-5565

Mailing address

227 Poplar Ave
Glen Burnie, MD 21061-2462
Phone (443) 889-0814

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R242362MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Parkway Medical Association LLC Single Specialty PastSince Jan 10, 2007 Accepting new patients
Parkway Medical Association LLC Single Specialty PastSince Jun 3, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1699618587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 POPLAR AVE",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612462",
            "telephone_number": "443-889-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 CRAIN HWY S STE 10",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615565",
            "telephone_number": "410-760-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAYI",
        "first_name": "OLUBUSAYO",
        "middle_name": "ABAYOMI",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R242362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.