Individual provider Active NPI

Oyesola Omowunmi Akintan-Adaji, FNP-BC; PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenbelt, MD
National Provider Identifier
1760712913
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R174454 Issued in MD
Practice address
8955 Edmonston Rd Unit F&H
Greenbelt, MD 20770-1006
Phone
(301) 552-9385
Fax
(301) 552-9381
NPI assigned
Jan 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1009772 DC
Family Nurse Practitioner 363LF0000X R174454 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R174454 MD Primary

Addresses

Primary practice location

8955 Edmonston Rd Unit F&H
Greenbelt, MD 20770-1006

Mailing address

17307 Russet Dr
Bowie, MD 20716-3604
Phone (301) 792-0855

Other practice location 1

9831 Greenbelt Rd Ste 103
Lanham, MD 20706
Phone (301) 792-0855

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130128000436 DC Practitioner - Nurse Practitioner 9739333725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8955 Edmonston Rd
Suite F
Greenbelt, MD 20770-4041
Phone (301) 552-9385

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1009772DCMDFamily Nurse Practitioner
R174454MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Healthcare Services Inc CurrentSince Jun 10, 2019 Accepting new patients
Adventist Physician Services, Inc. CurrentSince Oct 1, 2012 Accepting new patients

Locations

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

8955 Edmonston Rd
Unit Fh
Greenbelt, MD 20770
Phone (301) 552-9385

8955 Edmonston Rd
Ste F
Greenbelt, MD 20770
Phone (301) 345-2700

9831 Greenbelt Rd
Ste 103
Lanham, MD 20706
Phone (202) 601-0801

14901 Broschart Rd
Rockville, MD 20850
Phone (301) 251-4500

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1263254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1760712913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17307 RUSSET DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163604",
            "telephone_number": "301-792-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 EDMONSTON RD UNIT F&H",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207701006",
            "telephone_number": "301-552-9385",
            "fax_number": "301-552-9381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9831 Greenbelt Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "20706",
            "country_code": "US",
            "telephone_number": "301-792-0855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKINTAN-ADAJI",
        "first_name": "OYESOLA",
        "middle_name": "OMOWUNMI",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC; PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-12",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1009772",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R174454",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R174454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.