Individual provider Active NPI

Barikat Aruna Oderinde, FNP-C

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1740767946
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138150 Issued in TX
Practice address
804 Edmonton Dr
Plano, TX 75075
Phone
(972) 423-3082
NPI assigned
Jul 20, 2018
Last updated
Jul 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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 AP138150 TX Primary

Addresses

Primary practice location

804 Edmonton Dr
Plano, TX 75075

Mailing address

8200 Walnut Hill LN
Dallas, TX 75231
Phone (214) 345-7366

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
I20181001000257 TX Practitioner - Nurse Practitioner 6709137805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Jabari Healthcare LLCGroup PAC ID 5991105652, 6 clinicians

Practice addresses (Care Compare)

12400 Preston Rd
Dallas, TX 75230-1866
Phone (469) 899-0740

5701 Virginia Pkwy
McKinney, TX 75071-5652
Phone (214) 592-0212

854 Baugh Dr
Allen, TX 75013-5565
Phone (214) 228-9319

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.59 of 100Reported as individual
Quality
25.03
Improvement activities
0
Cost
40.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jabari Healthcare LLC Family CurrentSince May 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: boderinde@jabarihealth.ssdirect.aprima.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1740767946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 WALNUT HILL LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75231",
            "telephone_number": "214-345-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 EDMONTON DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75075",
            "telephone_number": "972-423-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODERINDE",
        "first_name": "BARIKAT",
        "middle_name": "ARUNA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.