Linda Ijeoma Adetola | NPI 1992056733

Key facts

NPI: 1992056733
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: NP1045261 (DC)
Practice address: 1917 Bladensburg Rd NE
Washington, DC 20002-1811
Phone: (240) 481-7480
NPI assigned: Sep 19, 2012
Sex: Female
Sole proprietor: Yes

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.

Community Bridges, Inc. Adult Mental Health Clinic/Center · Washington, DC · NPI 1285321158

Medicare reassignment Care Compare group NPD DC
Blue Oak Health Services LLC Mental Health Counselor · Washington, DC · NPI 1790640316

Medicare reassignment DC
Community Bridges, Inc. Community/Behavioral Health Agency · Mesa, AZ · NPI 1508124488

Care Compare group
Community Bridges, Inc. Adult Mental Health Clinic/Center · Page, AZ · NPI 1558095315

Care Compare group
District Healthcare Services, LLC Community/Behavioral Health Agency · Washington, DC · NPI 1366939225

NPD
Community Bridges, Inc. Community/Behavioral Health Agency · Mesa, AZ · NPI 1588348775

NPD

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2022
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Community Bridges Inc (106 clinicians)

Practice addresses (Care Compare)

35 K St NE
Washington, DC 20002-4216
Phone (202) 839-3500

Medicare participation

Medicare fee-for-service enrollment: Enrolled in DC
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20241115000273	DC	Practitioner - Nurse Practitioner	8729512553	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
NP1045261	DC	MD	Psychiatric/Mental Health Nurse Practitioner

Practice roles

Organization	Status	New patients
District Healthcare Services, LLC	Current	Accepting new patients
Community Bridges, Inc.	Current since Oct 17, 2024	Accepting new patients
Community Bridges, Inc.	Current since Oct 17, 2024	Accepting new patients

Locations

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

35 K St NE
Washington, DC 20002
Phone (202) 442-4202

Interoperability endpoints

Direct secure messaging: linda.adetolapmhnp.p1@direct.cbridges.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	NP1045261	DC	Yes

Addresses

Primary practice location

1917 Bladensburg Rd NE
Washington, DC 20002-1811

Mailing address

1917 Bladensburg Rd NE
Washington, DC 20002-1811
Phone (240) 481-7480

Other providers in Washington, DC

All providers in Washington, DC · Psychiatric/Mental Health Nurse Practitioner in District of Columbia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.