Mofoluwasho Adenekan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2020067608 Issued in TN

Practice address

6100 Stratford Park Blvd
Knoxville, TN 37912-2109

Phone

(865) 237-9291

NPI assigned

Aug 31, 2020

Last updated

Sep 1, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Advanced Wound Care of North Texas PLLC

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1366908600
  Medicare reassignment NPD
• GLC Wellness Center Texas LLC

  • General Practice Physician
  • Duncanville, TX
  • NPI 1700433653
  Medicare reassignment NPD
• Golden Life Wellness Center DFW LLC

  • Family Medicine Physician
  • Arlington, TX
  • NPI 1265321160
  NPD (past)

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1407460207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 STRATFORD PARK BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379122109",
            "telephone_number": "865-237-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 STRATFORD PARK BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379122109",
            "telephone_number": "865-237-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADENEKAN",
        "first_name": "MOFOLUWASHO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "2020067608",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "2020067608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Denise Addison
• Caryn T Addonizio, NP
• Steven Addonizio, MD
• Addus Healthcare (South Carolina), Inc. (Aid & Assist at Home)
• Lauren Cathleen Ade, APRN
• Adh Ventures LLC (PH Holistic Pharmacy)
• Danny Adkins, DDS
• Koda Adkins
• Michial A Adkins, CRNA
• Paige Adkins, RDN

• Family Nurse Practitioner in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.