Individual provider Active NPI

Adebisi Adeleye-Aghedosa

  • Registered Nurse
  • Houston, TX
National Provider Identifier
1508329285
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
777315 Issued in TX
Practice address
7307 Addicks Clodine Rd
Houston, TX 77083-3901
Phone
(832) 677-2686
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 777315 TX Primary

Addresses

Primary practice location

7307 Addicks Clodine Rd
Houston, TX 77083-3901

Mailing address

7307 Addicks Clodine Rd
Houston, TX 77083-3901
Phone (832) 677-2686

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
777315TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1508329285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7307 ADDICKS CLODINE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770833901",
            "telephone_number": "832-677-2686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307 ADDICKS CLODINE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770833901",
            "telephone_number": "832-677-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELEYE-AGHEDOSA",
        "first_name": "ADEBISI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "777315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.