Individual provider Active NPI

Ifeoluwani Olayinka Adesanya

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1457152985
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1196724 Issued in TX
Practice address
6609 Blanco Rd Ste 145
San Antonio, TX 78216-6179
Phone
(210) 940-2764
Fax
(830) 239-9930
NPI assigned
Mar 21, 2025
Last updated
Jul 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1196724 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61683465 WA
Psychiatric/Mental Health Registered Nurse 163WP0808X 971911 TX

Addresses

Primary practice location

6609 Blanco Rd Ste 145
San Antonio, TX 78216-6179

Mailing address

6609 Blanco Rd Ste 145
San Antonio, TX 78216-6179
Phone (210) 940-2764

Other practice location 1

7550 W Ih 10 Ste 800
San Antonio, TX 78229-5814
Phone (210) 791-7505

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250604000073 TX Practitioner - Nurse Practitioner 7214446996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alamo Premier Mental Health PLLCGroup PAC ID 3779903141, 3 clinicians

Practice addresses (Care Compare)

6609 Blanco Rd
Suite 145
San Antonio, TX 78216-6179
Phone (210) 940-2764

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
971911TXMDPsychiatric/Mental Health Registered Nurse
1196724TXMDPsychiatric/Mental Health Nurse Practitioner
AP61683465WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo Premier Mental Health PLLC Psychiatric/Mental Health CurrentSince May 5, 2025 Accepting new patients

Locations

6609 Blanco Rd
Ste 145
San Antonio, TX 78216
Phone (210) 342-2299

6609 Blanco Rd
Ste 247
San Antonio, TX 78216
Phone (210) 828-0695

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": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1457152985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 BLANCO RD STE 145",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166179",
            "telephone_number": "210-940-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 BLANCO RD STE 145",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782166179",
            "telephone_number": "210-940-2764",
            "fax_number": "830-239-9930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7550 W Ih 10 Ste 800",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782295814",
            "country_code": "US",
            "telephone_number": "210-791-7505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADESANYA",
        "first_name": "IFEOLUWANI",
        "middle_name": "OLAYINKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-21",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1196724",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61683465",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "971911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.