Abiodun O Adiasor

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

743322 Issued in PA

Practice address

3300 Henry Ave
Philadelphia, PA 19129-1141

Phone

(215) 475-3400

NPI assigned

Aug 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Affirm Home Care Agency LLC

  • In Home Supportive Care Agency
  • Laverock, PA
  • NPI 1922841048
  NPD Authorized official

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1255006078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7725 DOE LN",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190387227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 HENRY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291141",
            "telephone_number": "215-475-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADIASOR",
        "first_name": "ABIODUN",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "PA",
            "license": "743322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwaseyi Adeuyan
• Idayat Adewunmi, PHARMD
• Bola Adeyemi
• Hassan Ayobami Adeyemo
• Adeyinka T Adebamiro (Ata Pharmacy)
• Adam Adika, MD
• Terry Alayne Adirim, M.D., M.P.H.
• Gloria Adjabeng
• Esther Abena Adjei, M.D.
• Kimberleigh Adkins

• Adult Psychiatric/Mental Health Registered Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.