Individual provider Active NPI

Khadijah Folashade Arowolo

  • Licensed Vocational Nurse
  • Dallas, TX
National Provider Identifier
1538644604
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
326679 Issued in TX
Practice address
5400 Preston Oaks Rd Apt 2107
Dallas, TX 75254-8461
Phone
(267) 902-3697
NPI assigned
Sep 25, 2018
Last updated
Sep 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 326679 TX Primary

Addresses

Primary practice location

5400 Preston Oaks Rd Apt 2107
Dallas, TX 75254-8461

Mailing address

5400 Preston Oaks Rd Apt 2107
Dallas, TX 75254-8461

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
326679TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1538644604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 PRESTON OAKS RD APT 2107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 PRESTON OAKS RD APT 2107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548461",
            "telephone_number": "267-902-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AROWOLO",
        "first_name": "KHADIJAH",
        "middle_name": "FOLASHADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "326679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.