Rachel A Oyejide, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP141288 Issued in TX

Practice address

4205 Golden Horn LN
Fort Worth, TX 76123-2569

Phone

(682) 333-2250

NPI assigned

Jun 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Rachel A Oyejide Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1003475682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 GOLDEN HORN LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232569",
            "telephone_number": "682-333-2250",
            "fax_number": "682-333-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 GOLDEN HORN LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232569",
            "telephone_number": "682-333-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYEJIDE",
        "first_name": "RACHEL",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP141288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "OYEJIDE",
            "middle_name": "A",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Adult Health Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Adult Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.