Individual provider Active NPI

Abisola Morenike Akinwande, RN

  • Registered Nurse
  • Ellicott City, MD
National Provider Identifier
1730772575
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R221263 Issued in MD
Practice address
8507 Falls Run Rd Apt C
Ellicott City, MD 21043-7376
Phone
(443) 261-5906
NPI assigned
Feb 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R221263 MD Primary

Addresses

Primary practice location

8507 Falls Run Rd Apt C
Ellicott City, MD 21043-7376

Mailing address

8507 Falls Run Rd Apt C
Ellicott City, MD 21043-7376
Phone (443) 261-5906

Other names 1

  • Ms. Abisola Morenike Adeosun Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R221263MDMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1730772575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8507 FALLS RUN RD APT C",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210437376",
            "telephone_number": "443-261-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8507 FALLS RUN RD APT C",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210437376",
            "telephone_number": "443-261-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINWANDE",
        "first_name": "ABISOLA",
        "middle_name": "MORENIKE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R221263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABISOLA",
            "last_name": "ADEOSUN",
            "middle_name": "MORENIKE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.