Individual provider Active NPI

Atinuke Dada, FNP-BC

  • Family Nurse Practitioner
  • League City, TX
National Provider Identifier
1154782720
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130032 Issued in TX
Practice address
2577 Madison Ave
League City, TX 77573-4566
Phone
(409) 789-8379
NPI assigned
Mar 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP130032 TX Primary

Addresses

Primary practice location

2577 Madison Ave
League City, TX 77573-4566

Mailing address

2577 Madison Ave
League City, TX 77573-4566
Phone (409) 789-8379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170418000400 TX Practitioner - Nurse Practitioner 1355627829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ladot Healthcare LLCGroup PAC ID 2264848779, 2 clinicians

Practice addresses (Care Compare)

350 Blossom St
Webster, TX 77598-4206
Phone (832) 340-7101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP130032TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ladot Healthcare LLC CurrentSince Feb 5, 2021 Accepting new patients

Locations

1275 Space Park Dr
Houston, TX 77058
Phone (346) 219-2963

1300 Binz St
Houston, TX 77004
Phone (713) 285-1000

3129 Kingsley Dr
Ste 540
Pearland, TX 77584
Phone (832) 340-7101

2121 Business Center Dr
Pearland, TX 77584
Phone (346) 200-8849

709 W Medical Center Blvd
Webster, TX 77598
Phone (281) 316-8070

350 Blossom St
Webster, TX 77598
Phone (281) 316-7800

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": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1154782720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2577 MADISON AVE",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734566",
            "telephone_number": "409-789-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2577 MADISON AVE",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734566",
            "telephone_number": "409-789-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADA",
        "first_name": "ATINUKE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

Verify at the official NPI Registry.