Individual provider Active NPI

Olayide Adeola Adejumobi, RD

  • Registered Dietitian
  • Frisco, TX
National Provider Identifier
1043046485
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT84523 Issued in TX
Practice address
6136 Frisco Square Blvd Ste 400
Frisco, TX 75034-3251
Phone
(806) 281-2655
NPI assigned
Sep 11, 2024
Sex
Female
Sole proprietor
Yes

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.

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
DT84523TXMDRegistered Dietitian

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT84523 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

6136 Frisco Square Blvd Ste 400
Frisco, TX 75034-3251

Mailing address

6136 Frisco Square Blvd Ste 400
Frisco, TX 75034-3251
Phone (806) 281-2655

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2025.

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1043046485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 FRISCO SQUARE BLVD STE 400",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343251",
            "telephone_number": "806-281-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6136 FRISCO SQUARE BLVD STE 400",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343251",
            "telephone_number": "806-281-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEJUMOBI",
        "first_name": "OLAYIDE",
        "middle_name": "ADEOLA",
        "name_prefix": "Mrs.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT84523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.