Mosunmola Olanireti Ajenikoko, RN

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

009715 Issued in TX

Practice address

5714 Prescott Dr
Arlington, TX 76018-2566

Phone

(817) 467-0570

Fax

(817) 467-5592

NPI assigned

Dec 12, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053472357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5714 PRESCOTT DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760182566",
            "telephone_number": "817-467-0570",
            "fax_number": "817-467-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5714 PRESCOTT DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760182566",
            "telephone_number": "817-467-0570",
            "fax_number": "817-467-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJENIKOKO",
        "first_name": "MOSUNMOLA",
        "middle_name": "OLANIRETI",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Arlington, TX
• Providers in Arlington, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.