Individual provider Active NPI

Folake A Adeyemi, CRNP

  • Adult Health Nurse Practitioner
  • Laurel, MD
National Provider Identifier
1831748664
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R209844 Issued in MD
Practice address
9308 Gordon CT
Laurel, MD 20723-5830
Phone
(410) 746-5704
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X RN1033165 DC
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X R209844 MD
Adult Health Nurse Practitioner 363LA2200X R209844 MD Primary

Addresses

Primary practice location

9308 Gordon CT
Laurel, MD 20723-5830

Mailing address

9308 Gordon CT
Laurel, MD 20723-5830
Phone (410) 746-5704

Other practice location 1

1647 Benning Rd NE Ste 300
Washington, DC 20002-4569
Phone (410) 746-5704

Other identifiers 2

IdentifierTypeStateIssuer
RN1033165OtherDCLICENSE NUMBER
R209844OtherMDLICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address folake.adeyemi@ahf.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20200518002402 MD Practitioner - Nurse Practitioner 4284065798 Reassigns benefits to 1 organization
I20221220000950 DC Practitioner - Nurse Practitioner 4284065798 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R209844MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Healthcare Foundation Multi-Specialty CurrentSince Nov 21, 2022 Accepting new patients
AIDS Healthcare Foundation CurrentSince Mar 8, 2020 Accepting new patients
AIDS Healthcare Foundation Multi-Specialty Current Accepting new patients
AIDS Healthcare Foundation Multi-Specialty Current Accepting new patients
AIDS Healthcare Foundation Multi-Specialty CurrentSince Mar 8, 2020 Accepting new patients
AIDS Healthcare Foundation Multi-Specialty Past Accepting new patients

Locations

2141 K St NW
Ste 707
Washington, DC 20037
Phone (202) 293-5382

650 Pennsylvania Ave SE
Ste 310
Washington, DC 20003
Phone (202) 350-5000

1701 K St NW
Ste 400
Washington, DC 20006
Phone (202) 293-8680

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

11 E Lexington St
Ste 100
Baltimore, MD 21202
Phone (410) 246-4876

2510 Saint Paul St
Ste 1
Baltimore, MD 21218
Phone (410) 246-4876

4302 Saint Barnabas Rd
Ste B
Temple Hills, MD 20748
Phone (301) 423-1071

Interoperability endpoints

  • Direct secure messaging: folake.adeyemi.1@26356.direct.athenahealth.com

Organizations & group practices 6

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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as group
Quality
64.78
Improvement activities
40
Cost
79.23

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1831748664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9308 GORDON CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207235830",
            "telephone_number": "410-746-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9308 GORDON CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207235830",
            "telephone_number": "410-746-5704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1647 Benning Rd NE Ste 300",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200024569",
            "country_code": "US",
            "telephone_number": "410-746-5704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADEYEMI",
        "first_name": "FOLAKE",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "DC",
            "license": "RN1033165",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MD",
            "license": "R209844",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R209844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "RN1033165",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "R209844",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "folake.adeyemi@ahf.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11 E Lexington St Ste 100",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212021732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.