Individual provider Active NPI

Aishat Oluwatosin Adeyemo, DNP APRN AGACNP-BC

  • Acute Care Nurse Practitioner
  • Hugo, MN
National Provider Identifier
1669305272
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
14282 Issued in MN
Practice address
2129 Ada Dr
Hugo, MN 55038-4683
Phone
(763) 203-0763
NPI assigned
Jun 4, 2026
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 14282 MN Primary

Addresses

Primary practice location

2129 Ada Dr
Hugo, MN 55038-4683

Mailing address

2129 Ada Dr
Hugo, MN 55038-4683
Phone (763) 203-0763

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14282MNMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1669305272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 ADA DR",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550384683",
            "telephone_number": "763-203-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 ADA DR",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550384683",
            "telephone_number": "763-203-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEYEMO",
        "first_name": "AISHAT",
        "middle_name": "OLUWATOSIN",
        "credential": "DNP APRN AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MN",
            "license": "14282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hugo, MN

Sources for this page

Verify at the official NPI Registry.