Individual provider Active NPI

Joy Oluwakemi Adeyemi, FNP

  • Family Nurse Practitioner
  • Jarrell, TX
National Provider Identifier
1548023864
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1021367 Issued in TX
Practice address
501 Circle Way Unit 5D
Jarrell, TX 76537-1917
Phone
(570) 877-8180
NPI assigned
Jan 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1021367 TX Primary

Addresses

Primary practice location

501 Circle Way Unit 5D
Jarrell, TX 76537-1917

Mailing address

1500 Cottonwood Creek TRL
Cedar Park, TX 78613-7555
Phone (570) 877-8180

Other names 1

  • Joy Alaofin Former name

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
I20241127000897 TX Practitioner - Nurse Practitioner 3375078306 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CH Specialty Services TX PLLCGroup PAC ID 6507173291, 103 clinicians

Practice addresses (Care Compare)

1201 Canyon Creek Dr
Temple, TX 76502-3299
Phone (337) 991-9276

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services TX PLLC Family CurrentSince Nov 5, 2024 Accepting new patients
Curana Health Medical Group LLC CurrentSince Nov 5, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 20, 2024 Accepting new patients

Locations

8911 N Capital of Texas Hwy
Ste 1110
Austin, TX 78759
Phone (515) 238-2826

2802 Flintrock Trce
Ste 201
Austin, TX 78738
Phone (512) 407-2606

1500 Cottonwood Creek Trl
Cedar Park, TX 78613
Phone (512) 259-4259

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

9903 Hunters Pond
San Antonio, TX 78224
Phone (210) 477-2200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1548023864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 COTTONWOOD CREEK TRL",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137555",
            "telephone_number": "570-877-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CIRCLE WAY UNIT 5D",
            "city": "JARRELL",
            "state": "TX",
            "postal_code": "765371917",
            "telephone_number": "570-877-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEYEMI",
        "first_name": "JOY",
        "middle_name": "OLUWAKEMI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1021367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOY",
            "last_name": "ALAOFIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jarrell, TX

Sources for this page

Verify at the official NPI Registry.