Active NPI
Sherifat Adekemi Oseni
- Early Intervention Provider Agency
- Kissimmee, FL
National Provider Identifier
1154895274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Practice address
- 1200 N Central Ave
Kissimmee, FL 34741-4450 - Phone
- (407) 530-5063
- Fax
- (877) 399-5578
- NPI assigned
- Jan 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Early Intervention Provider Agency | 252Y00000X | Primary | ||
| Behavior Technician | 106S00000X | 18-69538 | FL | |
| Behavior Technician | 106S00000X | RBT-18-69538 | FL |
Addresses
Primary practice location
1200 N Central Ave
Kissimmee, FL 34741-4450
Mailing address
1632 Croydon St
Orlando, FL 32828-6850
Phone (908) 342-1324
Other practice location 1
1632 Croydon St
Orlando, FL 32828-6850
Phone (908) 342-1324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-18-69538 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18-69538 | FL | MD | Behavior Technician |
| RBT-18-69538 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1154895274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1632 CROYDON ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328286850",
"telephone_number": "908-342-1324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N CENTRAL AVE",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414450",
"telephone_number": "407-530-5063",
"fax_number": "877-399-5578"
}
],
"practiceLocations": [
{
"address_1": "1632 Croydon St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328286850",
"country_code": "US",
"telephone_number": "908-342-1324",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSENI",
"first_name": "SHERIFAT",
"middle_name": "ADEKEMI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-11",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "18-69538",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-18-69538",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RBT-18-69538",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.