Individual provider Active NPI

Fehintola Motomori Enitan

  • Registered Nurse
  • McKinney, TX
National Provider Identifier
1013473859
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
865318 Issued in TX
Practice address
7712 Weatherford Trce
McKinney, TX 75071-3491
Phone
(317) 366-3927
NPI assigned
Feb 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 865318 TX Primary

Addresses

Primary practice location

7712 Weatherford Trce
McKinney, TX 75071-3491

Mailing address

7712 Weatherford Trce
McKinney, TX 75071-3491
Phone (317) 366-3927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
865318TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1013473859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7712 WEATHERFORD TRCE",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713491",
            "telephone_number": "317-366-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7712 WEATHERFORD TRCE",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713491",
            "telephone_number": "317-366-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENITAN",
        "first_name": "FEHINTOLA",
        "middle_name": "MOTOMORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "865318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.