Individual provider Active NPI

Oyenike Adigun-Awonaike

  • Nurse Practitioner
  • Siloam Springs, AR
National Provider Identifier
1861058547
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A005671 Issued in AR
Practice address
3271, Hwy 412
Siloam Springs, AR 72761
Phone
(479) 215-3080
NPI assigned
May 17, 2019
Last updated
May 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A005671 AR Primary

Addresses

Primary practice location

3271, Hwy 412
Siloam Springs, AR 72761

Mailing address

4077 Elm Springs Rd Ste 200
Springdale, AR 72762-3748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190717001418 AR Practitioner - Nurse Practitioner 8527393255 Reassigns benefits to 5 organizations
I20230207003165 TX Practitioner - Nurse Practitioner 8527393255 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Siloam Springs Clinic Company LLC CurrentSince Jun 20, 2019 Accepting new patients
Northwest Physicians LLC CurrentSince Jul 15, 2019 Accepting new patients
Northwest Physicians LLC CurrentSince Jul 15, 2019 Accepting new patients
Mercy Northwest Arkansas Ambulatory Services LLC CurrentSince Oct 4, 2021 Accepting new patients
Fort Worth Lung Clinic, PA CurrentSince Nov 1, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Aug 1, 2021 Accepting new patients
Northwest Benton County Physician Services LLC CurrentSince Jul 15, 2019 Accepting new patients
Mercy Health Northwest Arkansas Communities Past Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

2012 S Promenade Blvd
Rogers, AR 72758
Phone (479) 616-1485

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

11803 South Fwy
Ste 136
Burleson, TX 76028
Phone (817) 293-4833

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

923 College Ave
Ste 103
Fort Worth, TX 76104
Phone (817) 293-3000

800 8th Ave
Ste 412
Ft Worth, TX 76104
Phone (817) 336-0337

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHFFCD

Organizations & group practices 8

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": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1861058547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4077 ELM SPRINGS RD STE 200",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727623748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271, HWY 412",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "72761",
            "telephone_number": "479-215-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADIGUN-AWONAIKE",
        "first_name": "OYENIKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A005671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Siloam Springs, AR

Sources for this page

Verify at the official NPI Registry.