Active NPI
Deborah Adenike Olu-Ilesanmi
- Case Management Agency
- Irving, TX
National Provider Identifier
1598906398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Practice address
- 2011 W Irving Blvd
Irving, TX 75061-4353 - Phone
- (469) 328-1789
- Fax
- (817) 417-4488
- NPI assigned
- Mar 9, 2009
- Last updated
- Oct 2, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Home Health Agency | 251E00000X |
Addresses
Primary practice location
2011 W Irving Blvd
Irving, TX 75061-4353
Mailing address
2011 W Irving Blvd
Irving, TX 75061-4353
Phone (469) 328-1789
Other names 1
- Deborah Olukayode
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": "1236556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254441600000",
"number": "1598906398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 W IRVING BLVD",
"city": "IRVING",
"state": "TX",
"postal_code": "750614353",
"telephone_number": "469-328-1789",
"fax_number": "817-417-4488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 W IRVING BLVD",
"city": "IRVING",
"state": "TX",
"postal_code": "750614353",
"telephone_number": "469-328-1789",
"fax_number": "817-417-4488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLU-ILESANMI",
"first_name": "DEBORAH",
"middle_name": "ADENIKE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-09",
"last_updated": "2009-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "OLUKAYODE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Irving, TX
- Oluwakemi Blessing Olofinkua, RN
- Adebimpe Abimbola Olofintuyi, DNP
- Bamikole Olowo, APRN, FNP-C
- Grace L Olson, CCC-SLP
- Jeffrey K Olson, DDS
- Ufuoma Cyril Omaye, FNP
- Omega Provider Services Inc
- Omni Home Health Care, L.L.C (Omni Home Health Care)
- Omnistar Home Health Care, L.L.C (Omnistar Home Health Care)
- Olumayowa Omoyeni
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.