Individual provider Active NPI

Motunrayo Olayinka Adetona, AGACNP

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1083186167
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP144450 Issued in TX
Practice address
16731 Beechnut St Apt 1301
Houston, TX 77083-6648
Phone
(401) 996-4615
NPI assigned
Dec 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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 AP14450 TX
Nurse Practitioner 363L00000X AP144450 TX Primary

Addresses

Primary practice location

16731 Beechnut St Apt 1301
Houston, TX 77083-6648

Mailing address

8443 Oakland Heights LN
Richmond, TX 77407-1061
Phone (401) 996-4615

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
AP144450TXMDNurse Practitioner
AP14450TXMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1546041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1083186167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8443 OAKLAND HEIGHTS LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774071061",
            "telephone_number": "401-996-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16731 BEECHNUT ST APT 1301",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836648",
            "telephone_number": "401-996-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADETONA",
        "first_name": "MOTUNRAYO",
        "middle_name": "OLAYINKA",
        "name_prefix": "Mrs.",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-29",
        "last_updated": "2023-06-12",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP14450",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP144450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.