Bisola Johnson Adu

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

License

NRN0040 Issued in TX

Practice address

3333 Southfork Pkwy Apt 921
Manvel, TX 77578-3773

Phone

(201) 932-6068

NPI assigned

Apr 29, 2024

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

State licenses

Practice roles

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.

• Trusted Medi Services LLC

  • Secured Medical Transport (VAN)
  • Manvel, TX
  • NPI 1669282968
  NPD Authorized official
• Bebidris Care Services Corporation

  • In Home Supportive Care Agency
  • Manvel, TX
  • NPI 1629984208
  NPD (past) Authorized official

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1043066038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 SOUTHFORK PKWY APT 921",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775783773",
            "telephone_number": "201-932-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 SOUTHFORK PKWY APT 921",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775783773",
            "telephone_number": "201-932-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON ADU",
        "first_name": "BISOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "TX",
            "license": "NRN0040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanze Iwuanyanwu, RN
• Kolby Jackson, SLP
• Sharlotte Jackson, LPC
• Stephen Craig Janecek, M.D.
• Daisy Jia, RPH
• Moriah Johnson, OTR/L
• Laquita Jones
• Zeb Jones
• Barbara Alice Kalmen, RN
• Aasrita Katragadda, D.D.S.

• Secured Medical Transport (VAN) in Manvel, TX
• Providers in Manvel, TX by specialty
• Secured Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.