Abimbola Olufunke Fagun

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

26NR12599800 Issued in NJ

Practice address

1740 W Everman Pkwy
Fort Worth, TX 76134

Phone

(732) 882-2418

NPI assigned

Jul 1, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Voyager

  • Home Health Agency
  • Fort Worth, TX
  • NPI 1699609487
  NPD Authorized official
• Voyager Montessori Academy

  • Registered Nurse
  • Fort Worth, TX
  • NPI 1295669018
  NPD Authorized official

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1407745607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W EVERMAN PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76134",
            "telephone_number": "732-882-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W EVERMAN PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76134",
            "telephone_number": "732-882-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGUN",
        "first_name": "ABIMBOLA",
        "middle_name": "OLUFUNKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NJ",
            "license": "26NR12599800",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NJ",
            "license": "26NR12599800",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR12599800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Fabry
• Oyeyemi Adetokunbo Fabuyi, M.D.
• Facial and Cosmetic Surgery of Fort Worth
• Facial and Oral Surgery Associates, PLLC
• Eniola Oladosu Fagbongbe, M.D.
• Sarah Faheem, MD
• Al Edward Faigin, DO
• Nancy G Faigin, DO
• Hannah Fain, OTR
• Harold Hubbard Fain Jr., MD

• Registered Nurse in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.