Individual provider Active NPI

Adediwura Ajadi Jolaoso, AGNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1801312053
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R193343 Issued in MD
Practice address
807 E Baltimore St Unit 1-R
Baltimore, MD 21202-4706
Phone
(240) 245-4164
NPI assigned
Aug 18, 2017
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R193343 MD
Gerontology Nurse Practitioner 363LG0600X R193343 MD
Gerontology Nurse Practitioner 363LG0600X NP1028737 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R193343 MD Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP1028737 DC

Addresses

Primary practice location

807 E Baltimore St Unit 1-R
Baltimore, MD 21202-4706

Mailing address

3904 Deep Hollow Way
Bowie, MD 20721-1287
Phone (240) 245-4164

Other practice location 1

3050 Military Rd NW
Washington, DC 20015-1341
Phone (202) 932-8149

Other practice location 2

1818 Newton St NW
Washington, DC 20010-1017
Phone (202) 932-8149

Other practice location 3

6200 Oregon Ave NW
Washington, DC 20015-1543
Phone (202) 932-8149

Other practice location 4

200 Morgnec Rd
Chestertown, MD 21620-1026
Phone (301) 321-7741

Other practice location 5

2015 E West Hwy
Silver Spring, MD 20910-2602
Phone (301) 321-7741

Other practice location 6

14300 Gallant Fox Ln Ste 202
Bowie, MD 20715-4033
Phone (301) 321-7741

Other practice location 7

2811 Pennsylvania Ave SE
Washington, DC 20020-3865
Phone (202) 894-6811

Other identifiers 3

IdentifierTypeStateIssuer
018035207MedicaidDC
037288487MedicaidDC
321060000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180129000229 DC Practitioner - Nurse Practitioner 6305106022 Reassigns benefits to 11 organizations
I20180129000291 MD Practitioner - Nurse Practitioner 6305106022 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CNP Operating Co LLCGroup PAC ID 8325263734, 63 clinicians
Psychogeriatric Services LLCGroup PAC ID 6002719226, 122 clinicians
M Medical Group, Inc.Group PAC ID 7719278597, 104 clinicians
Della Behavioral Health ServicesGroup PAC ID 3971755000, 54 clinicians

Practice addresses (Care Compare)

105 Time SQ
Salisbury, MD 21801-2808
Phone (410) 749-2474

11215 Oak Leaf Dr
Suite 109
Silver Spring, MD 20901-1300
Phone (301) 593-4222

2015 E W Hwy
Peak Healthcare at Fox Chase
Silver Spring, MD 20910-2602
Phone (202) 932-8149

2601 Bel Pre Rd
Silver Spring, MD 20906-2313
Phone (301) 598-6000

5000 Nannie Helen Burroughs Ave NE
Deanwood Rehab and Wellness Ctr
Washington, DC 20019-5506
Phone (202) 399-4505

9841 Broken Land Pkwy
Suite 314
Columbia, MD 21046-3078
Phone (410) 929-7225

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP1028737DCMDPsychiatric/Mental Health Nurse Practitioner
R193343MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nu Pathway Healthcare and Wellness LLC Psychiatric/Mental Health CurrentSince Dec 10, 2020 Accepting new patients
Optimum Primary Care Services LLC Nurse Practitioner CurrentSince Sep 1, 2022 Accepting new patients
Ennoble HC DMV LLC CurrentSince Nov 13, 2021 Accepting new patients
PA Post Acute Services PC CurrentSince Jan 31, 2024 Accepting new patients
Alignmed Medical Group, PC CurrentSince Sep 11, 2024 Accepting new patients
M Medical Group, Inc. CurrentSince Aug 14, 2020 Accepting new patients
Psychogeriatric Services LLC Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Ez Health Primary and Behavioral Health LLC Adult Health CurrentSince Jun 1, 2025 Accepting new patients
Della Behavioral Health Services CurrentSince May 24, 2021 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jan 26, 2026 Accepting new patients
M Medical Group, Inc. CurrentSince Aug 14, 2020 Accepting new patients
Nu Pathway Healthcare and Wellness LLC Adult Health CurrentSince Dec 10, 2020 Accepting new patients
Optimum Primary Care Services LLC PastSince Oct 29, 2022 Accepting new patients

Locations (25 of 36)

1818 Newton St NW
Washington, DC 20010
Phone (202) 328-7400

5000 Nannie Helen Burroughs Ave NE
Washington, DC 20019
Phone (202) 399-4505

6200 Oregon Ave NW
Washington, DC 20015
Phone (202) 541-0149

2002 Summit Blvd
Ste 300
Brookhaven, GA 30319
Phone (973) 241-1356

1910 Towne Centre Blvd
Ste 250
Annapolis, MD 21401
Phone (202) 596-8891

900 Van Buren St
Annapolis, MD 21403
Phone (301) 933-2500

2525 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 367-9100

807 E Baltimore St
Unit 1R
Baltimore, MD 21202
Phone (240) 245-4164

14300 Gallant Fox Ln
Ste 202
Bowie, MD 20715
Phone (202) 932-8149

200 Morgnec Rd
Chestertown, MD 21620
Phone (410) 778-1330

7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600

9841 Broken Land Pkwy
Ste 314
Columbia, MD 21046
Phone (410) 929-7225

100 Laurel Dr
Elkton, MD 21921
Phone (410) 398-8800

7420 Marlboro Pike
Forestville, MD 20747
Phone (301) 424-9560

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

12021 Livingston Rd
Ft Washington, MD 20744
Phone (301) 292-0300

8115 Maple Lawn Blvd
Ste 350
Fulton, MD 20759
Phone (240) 744-0001

14014 Marsh Pike
Hagerstown, MD 21742
Phone (301) 733-8700

4922 Lasalle Rd
Hyattsville, MD 20782
Phone (301) 445-3501

3000 McComas Ave
Kensington, MD 20895
Phone (301) 491-3090

4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800

9109 Liberty Rd
Randallstown, MD 21133
Phone (410) 655-7373

105 Time Sq
Salisbury, MD 21801
Phone (410) 749-2474

Organizations & group practices 15

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.

View all 15

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": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1801312053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 DEEP HOLLOW WAY",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207211287",
            "telephone_number": "240-245-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 E BALTIMORE ST UNIT 1-R",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212024706",
            "telephone_number": "240-245-4164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 Military Rd NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200151341",
            "country_code": "US",
            "telephone_number": "202-932-8149",
            "fax_number": "301-291-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 Newton St NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200101017",
            "country_code": "US",
            "telephone_number": "202-932-8149",
            "fax_number": "301-291-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 Oregon Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200151543",
            "country_code": "US",
            "telephone_number": "202-932-8149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Morgnec Rd",
            "address_purpose": "LOCATION",
            "city": "Chestertown",
            "state": "MD",
            "postal_code": "216201026",
            "country_code": "US",
            "telephone_number": "301-321-7741",
            "fax_number": "301-291-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 E West Hwy",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209102602",
            "country_code": "US",
            "telephone_number": "301-321-7741",
            "fax_number": "301-291-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14300 Gallant Fox Ln Ste 202",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207154033",
            "country_code": "US",
            "telephone_number": "301-321-7741",
            "fax_number": "301-291-7071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2811 Pennsylvania Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200203865",
            "country_code": "US",
            "telephone_number": "202-894-6811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOLAOSO",
        "first_name": "ADEDIWURA",
        "middle_name": "AJADI",
        "credential": "AGNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R193343",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R193343",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "DC",
            "license": "NP1028737",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R193343",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1028737",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018035207",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037288487",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321060000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.