Individual provider Active NPI

Titilayo Adelekan

  • Family Nurse Practitioner
  • Wesley Chapel, FL
National Provider Identifier
1760114342
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209025322 Issued in IL
Practice address
28945 State Road 54 Ste 101
Wesley Chapel, FL 33543-3218
Phone
(630) 755-0065
NPI assigned
Jun 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11025095 FL
Family Nurse Practitioner 363LF0000X 209025322 IL Primary

Addresses

Primary practice location

28945 State Road 54 Ste 101
Wesley Chapel, FL 33543-3218

Mailing address

1138 Emerald Ave
Chicago Heights, IL 60411-2714
Phone (708) 673-9850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11025095FLMDFamily Nurse Practitioner
209025322ILMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1760114342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 EMERALD AVE",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112714",
            "telephone_number": "708-673-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28945 STATE ROAD 54 STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335433218",
            "telephone_number": "630-755-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADELEKAN",
        "first_name": "TITILAYO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11025095",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209025322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.