Individual provider Active NPI

Yemisi Jadesola Oyeniyi

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1700552841
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1049014 Issued in TX
Practice address
6120 E Mockingbird LN
Dallas, TX 75214-2601
Phone
(469) 487-5426
NPI assigned
Aug 18, 2021
Last updated
Apr 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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 1049014 TX Primary

Addresses

Primary practice location

6120 E Mockingbird LN
Dallas, TX 75214-2601

Mailing address

6120 E Mockingbird LN
Dallas, TX 75214-2601
Phone (469) 487-5426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220608001944 TX Practitioner - Nurse Practitioner 9133507890 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Family CurrentSince Dec 5, 2024 Accepting new patients
Dallas County Hospital District Family CurrentSince Dec 5, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Dallas County Hospital District Family Current Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000

Organizations & group practices 5

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1700552841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 E MOCKINGBIRD LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142601",
            "telephone_number": "469-487-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 E MOCKINGBIRD LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142601",
            "telephone_number": "469-487-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OYENIYI",
        "first_name": "YEMISI",
        "middle_name": "JADESOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1049014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.