Healthcare Provider Details

I. General information

NPI: 1790137024
Provider Name (Legal Business Name): KANISHA L.J. AKINADE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2016
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 GEORGIA AVE
SILVER SPRING MD
20910-3618
US

IV. Provider business mailing address

PO
PITTSBURGH PA
15251-9220
US

V. Phone/Fax

Practice location:
  • Phone: 301-585-6049
  • Fax: 301-588-7365
Mailing address:
  • Phone: 202-741-3350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP500022581
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2330675
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: