Individual provider Active NPI

Augustine Abiodun Kehinde

  • Family Nurse Practitioner
  • Lancaster, CA
National Provider Identifier
1083147979
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95006453 Issued in CA
Practice address
43129 Lemonwood Dr
Lancaster, CA 93536-4724
Phone
(818) 304-4243
Fax
(661) 943-8076
NPI assigned
Apr 6, 2017
Last updated
Apr 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95006453 CA
Family Nurse Practitioner 363LF0000X 95006453 CA Primary

Addresses

Primary practice location

43129 Lemonwood Dr
Lancaster, CA 93536-4724

Mailing address

43129 Lemonwood Dr
Lancaster, CA 93536-4724
Phone (818) 304-4243

Other names 1

  • Augustine Abiodun Kehinde Professional name

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
95006453CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Autumn Hills Residential Home, Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1083147979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43129 LEMONWOOD DR",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935364724",
            "telephone_number": "818-304-4243",
            "fax_number": "661-943-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43129 LEMONWOOD DR",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935364724",
            "telephone_number": "818-304-4243",
            "fax_number": "661-943-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHINDE",
        "first_name": "AUGUSTINE",
        "middle_name": "ABIODUN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95006453",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUGUSTINE",
            "last_name": "KEHINDE",
            "middle_name": "ABIODUN",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.