Kehinde Tinuola Sobamowo, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

598224 Issued in NY

Practice address

3373 Fenton Ave
Bronx, NY 10469-2818

Phone

(212) 719-9600

NPI assigned

Oct 26, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1023344108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N ELLIOTT PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051043",
            "telephone_number": "212-719-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3373 FENTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104692818",
            "telephone_number": "212-719-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBAMOWO",
        "first_name": "KEHINDE",
        "middle_name": "TINUOLA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "598224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eneas Soares, RN, CCM, BSN
• Staci Victoria Soares, HHP, CWHC, HNP, ETC.
• Carolynn Soba
• Daniella Soba
• Yolanda Soba, NURSE
• Barbara E Sobel, CRNA
• Jessica Blake Sobel
• Sinead Sobers, CRNA, PMHNP-BC
• Azadeh Sobhkhiz, MD
• Rayna Jo Sobieski, M.D

• Case Management Registered Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Case Management Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.