Adebola Kafayat Adegbenro, APRN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1051648 Issued in TX

Practice address

205 Morning Glory Dr
Lake Mary, FL 32746-3304

Phone

(214) 281-9302

NPI assigned

Sep 6, 2019

Last updated

Feb 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Serenity Minds Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marysville, WA
  • NPI 1386598969
  NPD Authorized official

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770422400000",
    "number": "1154970796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 MORNING GLORY DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463304",
            "telephone_number": "214-281-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MORNING GLORY DR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463304",
            "telephone_number": "214-281-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEGBENRO",
        "first_name": "ADEBOLA",
        "middle_name": "KAFAYAT",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2026-02-07",
        "certification_date": "2026-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1051648",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2360005",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "349695",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11044371",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Diane Acreman
• Acuphysio360, LLC (Recupery Active Recovery Studio)
• Digmory Lizzie Adair, OTR/L
• Angela Denise Adams, PHARMD
• Reginald Ade
• Ogechukwu Adekweh
• Monica Adhav
• Advanced Endodontics of Lake Mary (Advanced Endodontics)
• Advanced Healthcare Staffing Solutions, LLC
• Advanced Heart and Vascular Medicine, Inc.

• Registered Nurse in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.