Linda Ijeoma Adetola
Nurse Practitioner, Psych/Mental Health in Washington, DC. Individual provider (NPI-1).
NPI number1992056733
StatusActive
Last updated in NPPESAug 14, 2023
Details
- NPI
- 1992056733
- Entity type
- Individual (NPI-1)
- Name
- Linda Ijeoma Adetola
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 19, 2012
- Certification date
- Aug 14, 2023
- Last updated
- Aug 14, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | NP1045261 | DC | Yes |
Practice location
1917 Bladensburg Rd NeWashington, DC 20002-1811
Phone 240-481-7480
Mailing address
1917 Bladensburg Rd NeWashington, DC 20002-1811
Phone 240-481-7480
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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