ABIMBOLA CHARLES ADEBAYO NPI 1487335824

NPI Information

  • NPI: 1487335824
  • Provider Name: ABIMBOLA CHARLES ADEBAYO
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5457 TWIN KNOLLS RD STE 300-1116
    COLUMBIA, MD
    ZIP 21045
  • Phone: (667) 417-9408

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NPI Details

Abimbola Charles Adebayo is a psychiatric/mental health nurse practitioner in Columbia, MD with 4 years of experience. Abimbola Charles Adebayo NPI is 1487335824. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5457 TWIN KNOLLS RD STE 300-1116
COLUMBIA, MD
ZIP 21045-259
Phone: (667) 417-9408

The NPI 1487335824 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/28/2023 and was last updated on 1/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthR240424MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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