Individual provider Active NPI

Victoria Oluwaseun Aladeokin

  • Community Health Registered Nurse
  • Fort Leonard Wood, MO
National Provider Identifier
1235723925
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
1-138936 Issued in AL
Practice address
16037 Minnesota Ave BLDG 2222
Fort Leonard Wood, MO 65473-1648
Phone
(573) 596-6674
NPI assigned
Feb 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN9424909 FL
Community Health Registered Nurse 163WC1500X 1-138936 AL Primary

Addresses

Primary practice location

16037 Minnesota Ave BLDG 2222
Fort Leonard Wood, MO 65473-1648

Mailing address

16037 Minnesota Ave BLDG 2222
Fort Leonard Wood, MO 65473-1648

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
1-138936ALMDCommunity Health Registered Nurse
RN9424909FLMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1235723925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16037 MINNESOTA AVE BLDG 2222",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654731648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16037 MINNESOTA AVE BLDG 2222",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654731648",
            "telephone_number": "573-596-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALADEOKIN",
        "first_name": "VICTORIA",
        "middle_name": "OLUWASEUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "FL",
            "license": "RN9424909",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "AL",
            "license": "1-138936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Leonard Wood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.