Individual provider Active NPI

Adedoyin Aderonmu, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1518439017
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP140036 Issued in TX
Practice address
4515 Chaumont TRL
Arlington, TX 76013-8341
Phone
(682) 556-2672
NPI assigned
Dec 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP140036 TX Primary
Gerontology Nurse Practitioner 363LG0600X AP140036 TX
Adult Health Nurse Practitioner 363LA2200X AP140036 TX

Addresses

Primary practice location

4515 Chaumont TRL
Arlington, TX 76013-8341

Mailing address

4515 Chaumont TRL
Arlington, TX 76013-8341

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
I20200123002035 TX Practitioner - Nurse Practitioner 3173958980 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140036TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Mar 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 1, 2021 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 1, 2021 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
1St Choice Integrated Wellness Center PLLC CurrentSince Dec 14, 2022 Accepting new patients
Eden Rejuvenation Center for Wellbeing PLLC CurrentSince Aug 1, 2021 Accepting new patients
Harmonycares Complete Health Services, PLLC CurrentSince Sep 16, 2025 Accepting new patients

Locations

2216 Southgate St
Ste B
Arlington, TX 76013
Phone (817) 275-8800

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

6913 Camp Bowie Blvd
Ste 171
Ft Worth, TX 76116
Phone (682) 558-4769

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Interoperability endpoints

  • Direct secure messaging: adedoyin.aderonmu.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1518439017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 CHAUMONT TRL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760138341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 CHAUMONT TRL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760138341",
            "telephone_number": "682-556-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADERONMU",
        "first_name": "ADEDOYIN",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-20",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP140036",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP140036",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP140036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.