Joseph Adesina Sowunmi

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5009228 Issued in NC

Practice address

1034 Bragg St
Raleigh, NC 27610

Phone

(919) 743-3601

NPI assigned

Aug 6, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1750638169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 OPAL FALLS CIR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165076",
            "telephone_number": "919-740-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 BRAGG ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27610",
            "telephone_number": "919-743-3601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5405 Opal Falls Cir",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276165076",
            "country_code": "US",
            "telephone_number": "919-740-0918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOWUNMI",
        "first_name": "JOSEPH",
        "middle_name": "ADESINA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-06",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southlight Healthcare
• Southlight Healthcare
• Southlight Healthcare
• Hannah Southward
• William James Sowter, DDS, PLLC
• Martha Lawing Soyars, PT
• Barbara Soysal, RD, LDN
• Theodore James Spader, RPH., MSPHAD
• Gwyneth Anne Spaeder, MD
• Erin Marie Spahr, LCPC, PMH-C

• Family Nurse Practitioner in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.