Individual provider Active NPI

Fatunag Adekola, M.ED, RYT

  • Health Educator
  • Philadelphia, PA
National Provider Identifier
1245582774
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Practice address
1435 69TH Ave
Philadelphia, PA 19126-1613
Phone
(215) 424-0135
Fax
(215) 626-8938
NPI assigned
Oct 8, 2012
Last updated
Oct 8, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X NU Primary

Addresses

Primary practice location

1435 69TH Ave
Philadelphia, PA 19126-1613

Mailing address

1435 69TH Ave
Philadelphia, PA 19126-1613
Phone (215) 424-0135

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
Credentials
Master of Education

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1245582774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 69TH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191261613",
            "telephone_number": "215-424-0135",
            "fax_number": "215-626-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 69TH AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191261613",
            "telephone_number": "215-424-0135",
            "fax_number": "215-626-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEKOLA",
        "first_name": "FATUNAG",
        "credential": "M.ED, RYT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.