Individual provider Active NPI

Sarah Aduku

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1861937534
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
132578 Issued in TX
Practice address
2922 MLK Jr Blvd BLDG B
Dallas, TX 75215-2321
Phone
(972) 588-4532
NPI assigned
Jan 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 132578 TX Primary

Addresses

Primary practice location

2922 MLK Jr Blvd BLDG B
Dallas, TX 75215-2321

Mailing address

1650 Round Rock Ave Ste 200
Round Rock, TX 78681-4082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170413001048 TX Practitioner - Nurse Practitioner 1052697604 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
132578TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Infusions, LLC CurrentSince Jul 1, 2019 Accepting new patients
Innovative Infusions, LLC CurrentSince Jul 1, 2019 Accepting new patients
Dallas County Mental Health & Mental Retardation Center Past Accepting new patients

Locations

720 W 34th St
Ste 104
Austin, TX 78705
Phone (512) 261-4800

17111 Preston Rd
Ste 100
Dallas, TX 75248
Phone (866) 588-1072

844 Kohlers Xing
Ste 230
Kyle, TX 78640
Phone (737) 404-3926

1650 Round Rock Ave
Ste 200
Round Rock, TX 78681
Phone (737) 443-5230

1922 Dry Creek Way
Ste 134
San Antonio, TX 78259
Phone (210) 485-3700

Interoperability endpoints

  • Direct secure messaging: sarah.nanjovu@ffhc.directbygreenway.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1861937534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 ROUND ROCK AVE STE 200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 MLK JR BLVD BLDG B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752152321",
            "telephone_number": "972-588-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADUKU",
        "first_name": "SARAH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "132578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.