Opeyemi Elizabeth Adewumi
Individual provider Active NPI Registered Dietitian · Las Cruces, NM
NPI 1497620678 · NPPES record last updated Apr 6, 2026
Key facts
- NPI
- 1497620678
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 86209569 (NM)
- Practice address
- 2450 S Telshor Blvd
Las Cruces, NM 88011-5076 - Phone
- (205) 886-6138
- NPI assigned
- Oct 8, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1710 Keller Pkwy
Suite 6565
Keller, TX 76248-3749
3050 Kelly Cir
Apt F
Montgomery, AL 36116-5227
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in CO, AZ, NJ, AR, TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251111002432 | CO | Practitioner - Registered Dietitian Or Nutrition Professional | 4880185545 | Reassigns benefits to 1 organization |
| I20251112001282 | AZ | Practitioner - Registered Dietitian Or Nutrition Professional | 4880185545 | Reassigns benefits to 1 organization |
| I20251113001951 | NJ | Practitioner - Registered Dietitian Or Nutrition Professional | 4880185545 | Reassigns benefits to 1 organization |
| I20251206000296 | AR | Practitioner - Registered Dietitian Or Nutrition Professional | 4880185545 | Reassigns benefits to 1 organization |
| I20251215002449 | TX | Practitioner - Registered Dietitian Or Nutrition Professional | 4880185545 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86209569 | NM | MD | Registered Dietitian |
| 2961 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Season Clinical Care NJ PC | Dietitian, Registered | Current |
Accepting new patients |
| Season Clinical Care P.a. | Dietitian, Registered | Current |
Accepting new patients |
| Surely Health, Inc. | Dietitian, Registered | Current |
Accepting new patients |
| H-E-B, LP | Past |
Accepting new patients |
Locations
1202 NE McClain Rd
Bentonville, AR 72712
Phone (479) 278-4323
130 E Congress St
Ste 200139
Tucson, AZ 85701
Phone (724) 307-5926
102 S Tejon St
Ste 100
Colorado Springs, CO 80903
Phone (970) 319-2999
1719 Highway 10
Parsippany, NJ 07054
1719 Highway 10
Ste 300
Parsippany, NJ 07054
6565 N MacArthur Blvd
Ste 225
Irving, TX 75039
Phone (972) 635-0489
1710 Keller Pkwy
Keller, TX 76248
Phone (210) 201-2364
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86209569 | NM | Yes |
Addresses
Primary practice location
2450 S Telshor Blvd
Las Cruces, NM 88011-5076
Mailing address
749 E University Ave Apt 3
Las Cruces, NM 88001-5659
Phone (205) 886-6138
Other providers in Las Cruces, NM
- Jochebed Ade-Oshifogun
- Temitope Ade-Oshifogun
- Taiwo Babatunde Adedipe
- Adelante Contigo LLC
- Harriet Ifeakanwan Adeleke
- William Adkins
- Hasan Adnan
- Adobe Sunset Counseling LLC
- Ndidi Adogu
- Amy Marie Aduskevich
All providers in Las Cruces, NM · Registered Dietitian in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.