The Lily Valley Group, Inc.
NPI 1053067876ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Annapolis, MD
Nurse Practitioner, Psych/Mental Health in Annapolis, Maryland, registered in NPPES in March 2022, part of The Lily Valley Group, Inc. The authorized official on file is Similade Adetunji, DNP, PMHNP,FNP, Provider. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1053067876 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | The Lily Valley Group, Inc. |
| NPI issued | Mar 2, 2022 |
| Last updated in NPPES | Oct 28, 2023 |
| Certified by provider | Oct 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (MD) |
|---|
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