Active NPI
Adesola K Adenuga
- Nurse Practitioner
- Mobile, AL
National Provider Identifier
1659186765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1165823
- Practice address
- 5721 USA N Dr
Mobile, AL 36688-0001 - Phone
- (251) 445-9400
- NPI assigned
- Feb 7, 2025
- Last updated
- Feb 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1165823 | TX | Primary |
Addresses
Primary practice location
5721 USA N Dr
Mobile, AL 36688-0001
Mailing address
3507 White Gardenia LN
Richmond, TX 77406-2700
Phone (240) 350-2094
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1165823 | TX | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1659186765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3507 WHITE GARDENIA LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774062700",
"telephone_number": "240-350-2094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5721 USA N DR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366880001",
"telephone_number": "251-445-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADENUGA",
"first_name": "ADESOLA",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-07",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1165823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
- Addiction & Mental Health Services, LLC (Bradford Health Services)
- Addus Healthcare Inc (Addus HomeCare)
- Addus Healthcare, Inc. (Addus HomeCare)
- Olamide Rahimot Adefashola, MD
- Jumoke Adelabu
- Meredith Susan Aderholdt, OTR/L
- ADHD Medical Clinic of Mobile, P.C.
- Seema Adhikari, M.D.
- Beth Hartsell Adkins, LPC, NCC
- Casey Edrick Adkins, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.