Kehinde Carolyn Adenodi, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R171287-6 Issued in MN

Practice address

10031 Honeysuckle Ave N
Brooklyn Park, MN 55443-1597

Phone

(651) 278-1144

NPI assigned

Jan 6, 2013

Last updated

Jan 6, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1357430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357430400000",
    "number": "1366789745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10031 HONEYSUCKLE AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431597",
            "telephone_number": "651-278-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10031 HONEYSUCKLE AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431597",
            "telephone_number": "651-278-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADENODI",
        "first_name": "KEHINDE",
        "middle_name": "CAROLYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-06",
        "last_updated": "2013-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R171287-6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.