Florence Iyabo Fimihan-Ajayi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A179828 Issued in IA

Practice address

115 Alydar Dr
North Liberty, IA 52317-4755

Phone

(773) 615-5574

NPI assigned

Jun 29, 2024

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 IA, IL2 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 2

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IA, IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719619200000",
    "number": "1437994555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ALYDAR DR",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174755",
            "telephone_number": "773-615-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ALYDAR DR",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174755",
            "telephone_number": "773-615-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIMIHAN-AJAYI",
        "first_name": "FLORENCE",
        "middle_name": "IYABO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A179828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Therapy Center LLC
• Eyeprint Prosthetics
• Timothy Fairbanks, LISW
• Family Wellbeing Associates, LLC
• Fetter Physical Therapy PLC (Enduring Strength)
• Olivia Raye Fisher
• Erin Michelle Floy, DPT
• Kaitlin Flynn
• Fomak Transportation,LLC
• Tayler Foster

• Family Nurse Practitioner in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.