Active NPI
Oyindamola Olayemi Adeniran, AGPCNP-C
- Gerontology Nurse Practitioner
- Richmond, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP135018
- Practice address
- 18110 Brightwood Park LN
Richmond, TX 77407-2293 - Phone
- (832) 798-7514
- NPI assigned
- Sep 2, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AP135018 | TX | Primary |
Addresses
Primary practice location
18110 Brightwood Park LN
Richmond, TX 77407-2293
Mailing address
18110 Brightwood Park LN
Richmond, TX 77407-2293
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191008003592 | TX | Practitioner - Nurse Practitioner | 6406187269 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Consonant Healing Associates of de LLCHealing Partners Plus PLLC
Practice addresses (Care Compare)
12830 Hillcrest Rd
Suite 111
Dallas, TX 75230-1547
Phone (443) 383-9300
4500 Mercantile Plaza Dr
Suite 300
Fort Worth, TX 76137-4206
Phone (888) 402-0202
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP135018 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Consonant Healing Associates of de LLC | Current | Accepting new patients |
Locations
101 Potters Ln
Clarksville, IN 47129
Phone (812) 948-0808
909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300
12830 Hillcrest Rd
Ste 111
Dallas, TX 75230
Phone (972) 964-9087
4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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": "1504310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504310400000",
"number": "1730607334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18110 BRIGHTWOOD PARK LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774072293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18110 BRIGHTWOOD PARK LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774072293",
"telephone_number": "832-798-7514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADENIRAN",
"first_name": "OYINDAMOLA",
"middle_name": "OLAYEMI",
"credential": "AGPCNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-02",
"last_updated": "2017-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "AP135018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.