Individual provider Active NPI

Folake Rose Adeniyi, RN

  • Registered Nurse
  • Germantown, WI
National Provider Identifier
1427340512
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
104742 Issued in WI
Practice address
N97W14981 Burning Bush CT
Germantown, WI 53022-6628
Phone
(262) 251-7229
NPI assigned
May 6, 2011
Last updated
Jan 11, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5778 WI
Registered Nurse 163W00000X 104742 WI Primary

Addresses

Primary practice location

N97W14981 Burning Bush CT
Germantown, WI 53022-6628

Mailing address

N97W14981 Burning Bush CT
Germantown, WI 53022-6628
Phone (262) 251-7229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104742WIMDRegistered Nurse
5778WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Home Health Care Inc. CurrentSince Jul 31, 2007 Accepting new patients

Organizations & group practices 1

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": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1427340512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N97W14981 BURNING BUSH CT",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530226628",
            "telephone_number": "262-251-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N97W14981 BURNING BUSH CT",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530226628",
            "telephone_number": "262-251-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADENIYI",
        "first_name": "FOLAKE",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-06",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WI",
            "license": "5778",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "104742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.