Iyabo O Adebiyi, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

0123456 Issued in MS

Practice address

900 Stark Rd
Starkville, MS 39759-3613

Phone

(662) 323-5033

Fax

(662) 323-5053

NPI assigned

Feb 23, 2010

Last updated

Feb 23, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

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": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1053633677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 STARK RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593613",
            "telephone_number": "662-323-5033",
            "fax_number": "662-323-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STARK RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593613",
            "telephone_number": "662-323-5033",
            "fax_number": "662-323-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBIYI",
        "first_name": "IYABO",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MS",
            "license": "0123456",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MS",
            "license": "0123456",
            "primary": true
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "MS",
            "license": "0123456",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "MS",
            "license": "0123456",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSMT",
            "identifier": "192773",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 1001 Hospital Road Opco LLC (Starkville Manor Health Care and Rehabilitation)
• Julie Alyssa Wolfe Ables, DMD
• Leah Garner Abrams, SLP
• Dustin Adams, MS
• William Marion Adkins, DMD
• Olivia Agostinelli
• Mary Elizabeth J Aldridge, OTR/L
• Sarker Abdul Aleem, MD
• Allen Chiropractic Center

• Diabetes Educator Registered Nurse in Starkville, MS
• Providers in Starkville, MS by specialty
• Diabetes Educator Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.