Ifeanyi Henrietta Adebusoye

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R10892 Issued in MD

Practice address

12915 Center Park Way
Upper Marlboro, MD 20772-5245

Phone

(301) 633-6686

NPI assigned

Jul 18, 2018

Last updated

Jul 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Apex Healthcare Solutions

  • Physical Therapy Clinic/Center
  • Upper Marlboro, MD
  • NPI 1285154617
  NPD (past) Authorized official
• Caremax Healthcare Services LLC

  • Home Health Agency
  • Upper Marlboro, MD
  • NPI 1306366406
  NPD (past) Authorized official
• Caremax Healthcare Services LLC

  dba CareMax healthcare services dba Apex Healthcare solutions

  • Pediatric Registered Nurse
  • Lanham, MD
  • NPI 1699410902
  Authorized official Same address or phone

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1912483264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12915 CENTER PARK WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725245",
            "telephone_number": "301-633-6686",
            "fax_number": "240-892-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 CENTER PARK WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725245",
            "telephone_number": "301-633-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBUSOYE",
        "first_name": "IFEANYI",
        "middle_name": "HENRIETTA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R10892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900055100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Acorn Health of Maryland LLC
• Kamira Andrea Adams
• Adaptive Life and Wellness LLC
• Sylvia Addo-Totimeh
• Tomide Adebayo
• Bunmi Adelehin
• Oluwadamilola Ademiluyi
• Oluwafemi Adenekan
• Felicia Adeola
• Julie Kikelomo Adeoye, NP-C

• Registered Nurse in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.