Ajibola Fat-Anthony, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP134373 Issued in TX

Practice address

2808 Quail Ave
McAllen, TX 78504-4276

Phone

(956) 802-4662

Fax

(956) 802-4662

NPI assigned

Jul 6, 2017

Sex

Female

Sole proprietor

Yes

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

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

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 and National Provider Directory roles.

• Unique Behavioral Clinic PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • McAllen, TX
  • NPI 1578309134
  Medicare reassignment NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Psychiatric/Mental Health, TX

  Medicare reassignment NPD
• Medical Mart & DME

  • Community/Retail Pharmacy
  • Mission, TX
  • NPI 1346507514
  NPD (past)

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1437670841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 QUAIL AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044276",
            "telephone_number": "956-802-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 QUAIL AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044276",
            "telephone_number": "956-802-4662",
            "fax_number": "956-802-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAT-ANTHONY",
        "first_name": "AJIBOLA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP134373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Farias III, O.D.
• Patricia Yvonne Farias, PTA
• Minaam Farooq
• Mukarram Farooq, MD
• Yahya Farrag
• Fatih Ozcelebi MD PA
• Justin Faye, MD
• Felici Pediatric Clinic, PLLC
• Fellow Fields Autism ABA Therapy Center
• Marvyn C. Fernald, D.C.

• Psychiatric/Mental Health Nurse Practitioner in McAllen, TX
• Providers in McAllen, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.