Active NPI
Atinuke Taibat Adumatioge, RN
- Registered Nurse
- Grand Prairie, TX
National Provider Identifier
1124675111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 816189
- Practice address
- 1067 Valley Brook LN
Grand Prairie, TX 75052-8842 - Phone
- (214) 518-2332
- NPI assigned
- Aug 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 816189 | TX | Primary |
Addresses
Primary practice location
1067 Valley Brook LN
Grand Prairie, TX 75052-8842
Mailing address
1067 Valley Brook LN
Grand Prairie, TX 75052-8842
Phone (214) 518-2332
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 816189 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1124675111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1067 VALLEY BROOK LN",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750528842",
"telephone_number": "214-518-2332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1067 VALLEY BROOK LN",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750528842",
"telephone_number": "214-518-2332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADUMATIOGE",
"first_name": "ATINUKE",
"middle_name": "TAIBAT",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-23",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "816189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
- Adeboye Taiwo Adetoro
- Tracy Dione Adigun, DIRECTOR
- Adonai M&S LLC
- Adore Dental P.a
- Adp Healthcare Services
- Advanced Care & Home Support Inc
- Aedel Global Health Services LLC
- Afc Palliative and Hospice Care LLC
- Affinity Acute Care Home Health Services Inc
- Affordable Dentist Near Me Grand Prairie, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.