Kayode Awotesu

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

783784 Issued in TX

Practice address

10910 Milano CT
Richmond, TX 77406-4571

Phone

(832) 682-7789

NPI assigned

May 15, 2019

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 15, 2019.

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1548826415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10910 MILANO CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774064571",
            "telephone_number": "832-682-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10910 MILANO CT",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774064571",
            "telephone_number": "832-682-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWOTESU",
        "first_name": "KAYODE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "783784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Richmond, TX
• Pediatric Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.