Active NPI
Ayo Olufunmito Jibowu, MS,RD.LD
- Registered Dietitian
- Pearland, TX
National Provider Identifier
1861879801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT02989
- Practice address
- 2419 Covington Way
Pearland, TX 77584-4805 - Phone
- (281) 997-7956
- NPI assigned
- Apr 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT02989 | TX | Primary |
Addresses
Primary practice location
2419 Covington Way
Pearland, TX 77584-4805
Mailing address
2419 Covington Way
Pearland, TX 77584-4805
Phone (281) 997-7956
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430179200000",
"number": "1861879801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2419 COVINGTON WAY",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775844805",
"telephone_number": "281-997-7956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2419 COVINGTON WAY",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775844805",
"telephone_number": "281-997-7956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JIBOWU",
"first_name": "AYO",
"middle_name": "OLUFUNMITO",
"name_prefix": "Mrs.",
"credential": "MS,RD.LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-28",
"last_updated": "2015-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT02989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.