Individual provider Active NPI

Ayoade Oluwaseun Avworo, FNP-BC

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1669889382
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP125989 Issued in TX
Practice address
7940 Floyd Curl Dr Ste 700
San Antonio, TX 78229-3907
Phone
(210) 949-0122
Fax
(210) 949-0181
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP125989 TX Primary

Addresses

Primary practice location

7940 Floyd Curl Dr Ste 700
San Antonio, TX 78229-3907

Mailing address

7940 Floyd Curl Dr Ste 700
San Antonio, TX 78229-3907
Phone (210) 949-0122

Other names 1

  • Ayoade Oluwaseun Olorunlero Former name

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
AP125989TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Trials of Texas, Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1669889382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 FLOYD CURL DR STE 700",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293907",
            "telephone_number": "210-949-0122",
            "fax_number": "210-949-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7940 FLOYD CURL DR STE 700",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293907",
            "telephone_number": "210-949-0122",
            "fax_number": "210-949-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVWORO",
        "first_name": "AYOADE",
        "middle_name": "OLUWASEUN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP125989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYOADE",
            "last_name": "OLORUNLERO",
            "middle_name": "OLUWASEUN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.