Individual provider Active NPI

Abimbola Opeyemi Lanipekun, FNP-C

  • Family Nurse Practitioner
  • Midland, TX
National Provider Identifier
1255681227
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
765309 Issued in TX
Practice address
407 Kent St
Midland, TX 79701-5858
Phone
(432) 687-2273
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 765309 TX Primary

Addresses

Primary practice location

407 Kent St
Midland, TX 79701-5858

Mailing address

407 Kent St
Midland, TX 79701-5858

Other identifiers 1

IdentifierTypeStateIssuer
325298301MedicaidTX

Other names 1

  • Miss Abimbola Opeyemi Adu Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130701000078 TX Practitioner - Nurse Practitioner 6406096106 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Oct 1, 2017 Accepting new patients
Vpa of Texas PLLC CurrentSince Oct 1, 2017 Accepting new patients
Vanguard Geriatrics Inc Family Past Accepting new patients
MCH Professional Care PastSince Apr 6, 2023 Accepting new patients

Locations

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1255681227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 KENT ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 KENT ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015858",
            "telephone_number": "432-687-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIPEKUN",
        "first_name": "ABIMBOLA",
        "middle_name": "OPEYEMI",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "765309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325298301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIMBOLA",
            "last_name": "ADU",
            "middle_name": "OPEYEMI",
            "prefix": "MISS",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.