NPIMap

Individual provider Active NPI

Yetunde Elizabeth Adio, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, TX
National Provider Identifier
1770856155
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP120890 Issued in TX
Practice address
4311 Wesley St
Greenville, TX 75401-5639
Phone
(903) 455-5958
Fax
(903) 454-4514
NPI assigned
Feb 16, 2012
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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 776283 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP120890 TX Primary

Addresses

Primary practice location

4311 Wesley St
Greenville, TX 75401-5639

Mailing address

PO Box 1908
Greenville, TX 75403-1908
Phone (903) 455-5986

Other names 1

  • Yetunde Elizabeth Ogunnaike Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140812000685 TX Practitioner - Nurse Practitioner 6204061617 Reassigns benefits to 3 organizations
I20170517002370 OR Practitioner - Nurse Practitioner 6204061617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acclaim Physician Group IncGroup PAC ID 4587963582, 520 clinicians
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

1350 S Main St
Suite 1600
Fort Worth, TX 76104-7611
Phone (817) 702-9701

1350 S Main St FL
1 Healing Wings/Infectious Disease
Fort Worth, TX 76104-7611
Phone (817) 702-3701

1500 S Main St
Fort Worth, TX 76104-4917

1500 S Main St FL
1 Urgent Care Center
Fort Worth, TX 76104-4917
Phone (817) 702-1451

1800 N Britain Rd
Parkland Health
Irving, TX 75061-2630
Phone (214) 266-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP120890TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Bend Medical Center Inc CurrentSince Sep 1, 2017 Accepting new patients
North Bend Medical Center Inc CurrentSince Sep 1, 2017 Accepting new patients
Dallas County Hospital District Family CurrentSince Mar 17, 2020 Accepting new patients
Behavioral Health of North Texas LLP CurrentSince Jul 4, 2022 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Oct 24, 2022 Accepting new patients
Dallas County Hospital District Family Current Accepting new patients
Dallas County Hospital District CurrentSince Mar 17, 2020 Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

224 W Pleasant Run Rd
Cedar Hill, TX 75104
Phone (972) 291-5977

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

5858 Main St
Ste 200
Frisco, TX 75033
Phone (214) 619-0721

200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450

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

6110 W Parker Rd
Plano, TX 75093
Phone (214) 369-5522

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

Interoperability endpoints

  • Direct secure messaging: yetunde.ogunnaike.p1@direct.hiet.nextgenshare.com
  • Direct secure messaging: yogunnaike107088@direct.phhs.org

Organizations & group practices 9

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 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1770856155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1908",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754031908",
            "telephone_number": "903-455-5986",
            "fax_number": "903-454-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 WESLEY ST",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754015639",
            "telephone_number": "903-455-5958",
            "fax_number": "903-454-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADIO",
        "first_name": "YETUNDE",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-16",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "776283",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP120890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YETUNDE",
            "last_name": "OGUNNAIKE",
            "middle_name": "ELIZABETH",
            "credential": "PMHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.