Active NPI
Adedayo Fashanu
- Counselor
- Lawton, OK
National Provider Identifier
1558668590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 807 SW F Ave
Lawton, OK 73501-4506 - Phone
- (580) 595-7000
- NPI assigned
- Feb 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | OK | Primary |
Addresses
Primary practice location
807 SW F Ave
Lawton, OK 73501-4506
Mailing address
2202 SW B Ave
Apt 1309
Lawton, OK 73501-4113
Phone (580) 458-1965
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 731545165 | Medicaid | OK |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298592000000",
"number": "1558668590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 SW B AVE",
"address_2": "APT 1309",
"city": "LAWTON",
"state": "OK",
"postal_code": "735014113",
"telephone_number": "580-458-1965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 SW F AVE",
"city": "LAWTON",
"state": "OK",
"postal_code": "735014506",
"telephone_number": "580-595-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASHANU",
"first_name": "ADEDAYO",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-25",
"last_updated": "2011-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "731545165",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.