Individual provider Active NPI

Kehinde Adeniran

  • Psychiatric/Mental Health Registered Nurse
  • Snellville, GA
National Provider Identifier
1619732104
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN326655 Issued in GA
Practice address
4182 Trillium Wood TRL
Snellville, GA 30039-6088
Phone
(678) 754-1140
NPI assigned
Feb 14, 2024
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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 Registered Nurse 163WP0808X RN326655 GA Primary

Addresses

Primary practice location

4182 Trillium Wood TRL
Snellville, GA 30039-6088

Mailing address

4182 Trillium Wood TRL
Snellville, GA 30039-6088

Other practice location 1

240 Mitchell Bridge Rd
Athens, GA 30606-2043
Phone (678) 754-1140

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

State licenses

LicenseStateTypeSpecialty
RN326655GAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1619732104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4182 TRILLIUM WOOD TRL",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4182 TRILLIUM WOOD TRL",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396088",
            "telephone_number": "678-754-1140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Mitchell Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062043",
            "country_code": "US",
            "telephone_number": "678-754-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADENIRAN",
        "first_name": "KEHINDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN326655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.