Individual provider Active NPI

Adejumoke Onadeko, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Garland, TX
National Provider Identifier
1598215535
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP132193 Issued in TX
Practice address
1301 Northwest Hwy
Ste 206
Garland, TX 75041-5896
Phone
(214) 345-7786
Fax
(214) 345-2682
NPI assigned
Oct 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP132193 TX Primary

Addresses

Primary practice location

1301 Northwest Hwy
Ste 206
Garland, TX 75041-5896

Mailing address

PO Box 2263
Garland, TX 75047-2263
Phone (469) 835-7543

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
I20161026001506 TX Practitioner - Nurse Practitioner 1254619265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1301 Northwest Hwy
Suite 206
Garland, TX 75041-5896

3623 Broadway Blvd
Suite B
Garland, TX 75043-1667
Phone (469) 434-1145

8502 Edgemere Rd
Dallas, TX 75225-3523
Phone (214) 615-7045

9300 Lakeview Pkwy
Rowlett, TX 75088-4476
Phone (469) 434-1145

Merit-based Incentive Payment System (MIPS)

Final score
3 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Behavioral Health, PLLC Psychiatric/Mental Health CurrentSince Jun 1, 2021 Accepting new patients
Citadel Behavioral Health Services Inc Psychiatric/Mental Health CurrentSince May 1, 2019 Accepting new patients

Locations

308 S Friendswood Dr
Ste 110
Friendswood, TX 77546
Phone (281) 317-0094

1301 Northwest Hwy
Ste 206
Garland, TX 75041
Phone (214) 345-7786

9300 Lakeview Pkwy
Rowlett, TX 75088
Phone (972) 475-4700

4242 Medical Dr
Ste 6300
San Antonio, TX 78229
Phone (210) 614-8400

Organizations & group practices 2

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": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1598215535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2263",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750472263",
            "telephone_number": "469-835-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 NORTHWEST HWY",
            "address_2": "STE 206",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415896",
            "telephone_number": "214-345-7786",
            "fax_number": "214-345-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONADEKO",
        "first_name": "ADEJUMOKE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP132193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.