Aderonke Badejogbin

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1197118 Issued in TX

Practice address

2219 Horned Owl St
Grand Prairie, TX 75052-1957

Phone

(214) 923-4656

NPI assigned

Oct 6, 2025

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1861366486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 HORNED OWL ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750521957",
            "telephone_number": "214-923-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 HORNED OWL ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750521957",
            "telephone_number": "214-923-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADEJOGBIN",
        "first_name": "ADERONKE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1197118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azora Healthcare LLC
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• B Rai Mehta MD
• Baby Foodie LLC
• Margaret Badejo
• Bree Bailey
• Tasneem Bakhach
• Frederick Lynn Baldwin, D.C.
• Olushola A. Balogun, NP
• Annette H Bamberger-Perkins, MD

• Psychiatric/Mental Health Nurse Practitioner in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.