Individual provider Active NPI

Adekemi Taiwo, APRN - CNP

  • Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1003397332
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
100846 Issued in OK
Practice address
Hillcrest South Medical Plaza
8803 S. 101 St E. Ave. Suite 350
Tulsa, OK 74133
Phone
(918) 615-3750
NPI assigned
Aug 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 100846 OK Primary

Addresses

Primary practice location

Hillcrest South Medical Plaza
8803 S. 101 St E. Ave. Suite 350
Tulsa, OK 74133

Mailing address

Hillcrest South Medical Plaza
8803 S. 101 St E. Ave. Suite 350
Tulsa, OK 74133
Phone (918) 615-3750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190128001754 OK Practitioner - Nurse Practitioner 0840537916 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
100846OKMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Infectious Disease Center PC CurrentSince Nov 13, 2018 Accepting new patients

Locations

8803 S 101st East Ave
Ste 350
Tulsa, OK 74133
Phone (918) 252-2800

Interoperability endpoints

  • Direct secure messaging: ataiwo187562@ahs.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1003397332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HILLCREST SOUTH MEDICAL PLAZA",
            "address_2": "8803 S. 101 ST E. AVE. SUITE 350",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74133",
            "telephone_number": "918-615-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HILLCREST SOUTH MEDICAL PLAZA",
            "address_2": "8803 S. 101 ST E. AVE. SUITE 350",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74133",
            "telephone_number": "918-615-3750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIWO",
        "first_name": "ADEKEMI",
        "credential": "APRN - CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "100846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.