Individual provider Active NPI

Adebola Julieana Adeshina, CFN

  • Nutrition Education Nutritionist
  • Wesley Chapel, FL
National Provider Identifier
1639947120
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Practice address
1324 Crimson Clover LN
Wesley Chapel, FL 33543-6575
Phone
(813) 787-1280
NPI assigned
Dec 14, 2023
Last updated
Dec 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X FL Primary

Addresses

Primary practice location

1324 Crimson Clover LN
Wesley Chapel, FL 33543-6575

Mailing address

19046 Bruce B Downs Blvd # 201
Tampa, FL 33647-2434
Phone (813) 787-1280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19046 Bruce B Downs Blvd
Suite 201
Tampa, FL 33647-2434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Peace Workout Corp CurrentSince Nov 19, 2025 Accepting new patients

Locations

19046 Bruce B Downs Blvd
Tampa, FL 33647
Phone (504) 300-9377

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1639947120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19046 BRUCE B DOWNS BLVD # 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472434",
            "telephone_number": "813-787-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 CRIMSON CLOVER LN",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335436575",
            "telephone_number": "813-787-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADESHINA",
        "first_name": "ADEBOLA",
        "middle_name": "JULIEANA",
        "name_prefix": "Ms.",
        "credential": "CFN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.