Individual provider Active NPI

Joyce Aiyeojenku

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1780295485
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1021329 Issued in TX
Practice address
6102 Skillman St Ste 110
Dallas, TX 75231-7811
Phone
(214) 335-3867
NPI assigned
Aug 14, 2020
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1021329 TX Primary

Addresses

Primary practice location

6102 Skillman St Ste 110
Dallas, TX 75231-7811

Mailing address

6102 Skillman St Ste 110
Dallas, TX 75231-7811
Phone (214) 335-3867

Other names 1

  • Joyce S Adetoro Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210809001476 TX Practitioner - Nurse Practitioner 6608038393 Reassigns benefits to 4 organizations
I20240314002785 WA Practitioner - Nurse Practitioner 6608038393 Reassigns benefits to 1 organization
Practice locations: Seattle, WA
I20240325001214 NM Practitioner - Nurse Practitioner 6608038393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

801 K Ave
Suite 10
Plano, TX 75074-1307

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cibola General Hospital Corporation CurrentSince Feb 18, 2024 Accepting new patients
Castro County Hospital District CurrentSince Mar 1, 2024 Accepting new patients
Castro County Hospital District CurrentSince Mar 1, 2024 Accepting new patients
Abb Healthcare Services. LLC CurrentSince Aug 23, 2020 Accepting new patients
Total MD Physicians Group, PLLC CurrentSince Nov 1, 2022 Accepting new patients
Cerebral Medical Group, a Professional Corporation CurrentSince Aug 10, 2021 Accepting new patients

Locations

340 S Lemon Ave
Ste 9892
Walnut, CA 91789
Phone (415) 617-9894

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

1423 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-6500

4301 W William Cannon Dr
#300
Austin, TX 78749
Phone (512) 222-8868

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

6102 Skillman St
#110
Dallas, TX 75231
Phone (214) 335-3867

310 W Halsell St
Dimmitt, TX 79027
Phone (806) 647-2191

801 K Ave
Ste 10
Plano, TX 75074
Phone (469) 257-3389

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1780295485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6102 SKILLMAN ST STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317811",
            "telephone_number": "214-335-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6102 SKILLMAN ST STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752317811",
            "telephone_number": "214-335-3867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIYEOJENKU",
        "first_name": "JOYCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1021329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYCE",
            "last_name": "ADETORO",
            "middle_name": "S",
            "credential": "MADIAN NAME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.