Abibi01 Corporation

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

ABIBI01 CORPORATION

Practice address

1306 Vincent PL
MC Lean, VA 22101-3614

Phone

(540) 326-2468

NPI assigned

Oct 15, 2025

Last updated

Oct 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Agnes Abiola Awomoyi, PHDNPI 1952061335

Title

Owner

Phone

(540) 326-2468

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Agnes Abiola Oluwatoyin Awomoyi

  • Massage Therapist
  • McLean, VA
  • NPI 1952061335
  NPD Authorized official

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1841166865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34049 WELBOURNE RD",
            "city": "UPPERVILLE",
            "state": "VA",
            "postal_code": "201843121",
            "telephone_number": "540-326-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 VINCENT PL",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013614",
            "telephone_number": "540-326-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIBI01 CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "AWOMOYI",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "ABIOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-326-2468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "Fax",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pdf jpeg",
            "address_1": "1306 Vincent Pl",
            "city": "Mc Lean",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221013614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Health & Wellness Coach in McLean, VA
• Providers in McLean, VA by specialty
• Health & Wellness Coach in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.