Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Folashade R Kanimodo, FNP-BC, PMHNP-BC

Individual provider Family Nurse Practitioner · NPI 1417174889

Dr. Folashade R Kanimodo, FNP-BC, PMHNP-BC is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2000, 26 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
26
Licensed in
MD
In the registry since
2007
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1700 E Cold Spring Lane University Health Ctr
Baltimore, MD 21251-4999
Phone: (443) 885-3236
Fax: (443) 885-8232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R104161 (MD)

Record details

NPI number1417174889
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC , PMHNP-BC
Sole proprietorYes
NPI enumeratedApril 19, 2007
Last updated in NPPESSeptember 11, 2020
Certification dateSeptember 11, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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