Individual provider Active NPI

Akindele Keji Onadeko, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1235781915
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP142321 Issued in TX
Practice address
7777 Forest LN Ste C833
Dallas, TX 75230-2591
Phone
(972) 566-4591
Fax
(972) 566-6679
NPI assigned
Jul 12, 2019
Last updated
Aug 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP142321 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste C833
Dallas, TX 75230-2591

Mailing address

7777 Forest LN Ste C833
Dallas, TX 75230-2591
Phone (972) 566-4591

Other identifiers 1

IdentifierTypeStateIssuer
744796OtherTXRN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP142321TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joel a. Holiner, MD PA Psychiatric/Mental Health CurrentSince Aug 23, 2019 Accepting new patients
Citadel Behavioral Health Services Inc Psychiatric/Mental Health CurrentSince Mar 1, 2020 Accepting new patients

Locations

7777 Forest Ln
Ste C833
Dallas, TX 75230
Phone (972) 566-4591

1301 Northwest Hwy
Ste 206
Garland, TX 75041
Phone (214) 345-7786

9300 Lakeview Pkwy
Rowlett, TX 75088
Phone (972) 475-4700

Organizations & group practices 2

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": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1235781915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C833",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302591",
            "telephone_number": "972-566-4591",
            "fax_number": "972-566-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C833",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302591",
            "telephone_number": "972-566-4591",
            "fax_number": "972-566-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONADEKO",
        "first_name": "AKINDELE",
        "middle_name": "KEJI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-12",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP142321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "744796",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.