Individual provider Active NPI

Janet Funmilola Adesina

  • Registered Nurse
  • Grand Prairie, TX
National Provider Identifier
1083171250
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
866756 Issued in TX
Practice address
2770 Bardin Rd Apt 13212
Grand Prairie, TX 75052-7324
NPI assigned
Feb 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 866756 TX Primary

Addresses

Primary practice location

2770 Bardin Rd Apt 13212
Grand Prairie, TX 75052-7324

Mailing address

2770 Bardin Rd Apt 13212
Grand Prairie, TX 75052-7324
Phone (214) 293-5504

Other practice location 1

2770 Bardin Rd Apt 13212
Grand Prairie, TX 75052-7324
Phone (214) 293-5504

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
866756TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1083171250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 BARDIN RD APT 13212",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527324",
            "telephone_number": "214-293-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 BARDIN RD APT 13212",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2770 Bardin Rd Apt 13212",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750527324",
            "country_code": "US",
            "telephone_number": "214-293-5504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADESINA",
        "first_name": "JANET",
        "middle_name": "FUNMILOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "866756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.