Revered-Holistic Healthcare LLC
NPI 1700377876ActiveOrganization· Nurse Practitioner, Family· Columbia, MD
Nurse Practitioner, Family in Columbia, Maryland, registered in NPPES in May 2018. The authorized official on file is Adetutu Awodipe, FNP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1700377876 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 24, 2018 |
| Last updated in NPPES | Sep 11, 2025 |
| Certified by provider | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | R194691 | MD |
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 (MD) |
|---|
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