Morayo Fadekemi Adebisi, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1154470 Issued in TX

Practice address

15420 Nacogdoches Rd
San Antonio, TX 78247-1106

Phone

(210) 767-3870

NPI assigned

Aug 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Morayo Fadekemi Olaofe Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1609609387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 NORTHWEST PKWY STE 111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493468",
            "telephone_number": "210-348-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15420 NACOGDOCHES RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471106",
            "telephone_number": "210-767-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEBISI",
        "first_name": "MORAYO",
        "middle_name": "FADEKEMI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1154470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORAYO",
            "last_name": "OLAOFE",
            "middle_name": "FADEKEMI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hunter M Addis, MD
• Cora Yvette Addison, MSN, APRN, CPNP-PC
• Antoine Addoumieh, MD
• Adebisi Bolanle Adebayo
• Beatrice Adetoun Adebayo, RN
• Ebenezer Olubunmi Adebiyi, MD
• Adedeji Associates PLLC
• Adebukola Adedeji, M.D.
• Adesola John Adedeji
• Iseoluwa Adebola Adedeji, BDS, MPH

• Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.