Vivian Temilola Soyingbe

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

937999 Issued in TX

Practice address

821 Lake Sierra Way
Little Elm, TX 75068-1237

Phone

(832) 232-8541

NPI assigned

Aug 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Temilola Vivian Omiyale Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1679184048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 LAKE SIERRA WAY",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750681237",
            "telephone_number": "832-232-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 LAKE SIERRA WAY",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750681237",
            "telephone_number": "832-232-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOYINGBE",
        "first_name": "VIVIAN",
        "middle_name": "TEMILOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "937999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "38399819",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DALLAS",
            "affiliation": "N",
            "endpointDescription": "medical information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "821 Lake Sierra Way",
            "city": "Little Elm",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750681237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TEMILOLA",
            "last_name": "OMIYALE",
            "middle_name": "VIVIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Home Health Registered Nurse in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Home Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.