Individual provider Active NPI

Simisola Morayo Asekun

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1386380608
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1076135 Issued in TX
Practice address
607 E Abram St Ste 14
Arlington, TX 76010-1206
Phone
(817) 903-3353
NPI assigned
May 10, 2022
Last updated
May 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1076135 TX Primary

Addresses

Primary practice location

607 E Abram St Ste 14
Arlington, TX 76010-1206

Mailing address

1678 Cardinal Rd
Mansfield, TX 76063-6308
Phone (817) 903-3353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20221201000172 TX Practitioner - Nurse Practitioner 9032587738 Reassigns benefits to 1 organization
I20230512001752 AZ Practitioner - Nurse Practitioner 9032587738 Reassigns benefits to 3 organizations
I20250306002161 CO Practitioner - Nurse Practitioner 9032587738

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Synovation Integrated Partners, LLC Single Specialty CurrentSince May 9, 2023 Accepting new patients
Advanced Minimally Invasive Surgical Single Specialty CurrentSince Aug 6, 2019 Accepting new patients
New Merveille LLC Single Specialty CurrentSince Jan 23, 2024 Accepting new patients
Advanced Minimally Invasive Surgical CurrentSince May 1, 2023 Accepting new patients
Transcend Psychiatric Services Inc Single Specialty CurrentSince Aug 30, 2022 Accepting new patients
Advanced Minimally Invasive Surgical CurrentSince May 1, 2023 Accepting new patients
Mile High Psychiatry LLC Single Specialty Past Accepting new patients

Locations

1653 E McMurray Blvd
Ste 144
Casa Grande, AZ 85122
Phone (520) 836-8644

1455 W Chandler Blvd
Ste B11
Chandler, AZ 85224
Phone (480) 917-9208

3707 E Southern Ave
Ste 2053
Mesa, AZ 85206
Phone (414) 419-7652

14804 N Cave Creek Rd
#200
Phoenix, AZ 85032
Phone (480) 240-5613

202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072

2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248

5060 N 19th Ave
Ste 207
Phoenix, AZ 85015
Phone (480) 488-5621

9150 W Indian School Rd
Ste 118
Phoenix, AZ 85037
Phone (623) 247-5700

607 E Abram St
Ste 14
Arlington, TX 76010
Phone (682) 597-5097

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1386380608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1678 CARDINAL RD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636308",
            "telephone_number": "817-903-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 E ABRAM ST STE 14",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760101206",
            "telephone_number": "817-903-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASEKUN",
        "first_name": "SIMISOLA",
        "middle_name": "MORAYO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1076135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.