Bosede O Adetunji

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

112143 Issued in OH

Practice address

15738 Boonridge Rd
Houston, TX 77053

Phone

(614) 596-4626

NPI assigned

Jul 6, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1356372148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15738 BOONRIDGE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770533732",
            "telephone_number": "614-596-4626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15738 BOONRIDGE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77053",
            "telephone_number": "614-596-4626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3219 omega drive",
            "address_purpose": "LOCATION",
            "city": "columbus",
            "state": "OH",
            "postal_code": "432318088",
            "country_code": "US",
            "telephone_number": "614-596-4626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADETUNJI",
        "first_name": "BOSEDE",
        "middle_name": "O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "112143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2422257",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saeedat Adesokan
• Adebayo Jerry Adesomo, M.D.
• Taiwo Adesoye, M.D.
• Amoke Y Adetayo
• Motunrayo Olayinka Adetona, AGACNP
• Faith Adewale
• Faith Adewale
• Karen Adewale, RD, LD
• Adekunle Adewole, DC
• Anthonia Adewole

• Licensed Practical Nurse in Houston, TX
• Providers in Houston, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.