Individual provider Active NPI

Yetunde T Adediran

  • Home Health Registered Nurse
  • Fulshear, TX
National Provider Identifier
1487408472
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
1008465 Issued in TX
Practice address
30202 Aralia Dr
Fulshear, TX 77423-3006
Phone
(832) 744-5440
NPI assigned
Apr 16, 2024
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 1008465 TX Primary

Addresses

Primary practice location

30202 Aralia Dr
Fulshear, TX 77423-3006

Mailing address

30202 Aralia Dr
Fulshear, TX 77423-3006
Phone (832) 744-5440

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1008465TXMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Yeks Exclusive Homehealth LLC CurrentSince Apr 28, 2024 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": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1487408472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30202 ARALIA DR",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774233006",
            "telephone_number": "832-744-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30202 ARALIA DR",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774233006",
            "telephone_number": "832-744-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEDIRAN",
        "first_name": "YETUNDE",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "1008465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulshear, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.