Patrice Monique Adetoro, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

192968 Issued in WI

Practice address

13500 Noel Rd Apt 131
Dallas, TX 75240-5057

Phone

(414) 625-0775

NPI assigned

Jun 14, 2019

Last updated

Oct 13, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Patrice Monique King Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1871153668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 NOEL RD APT 131",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405057",
            "telephone_number": "414-625-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 NOEL RD APT 131",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405057",
            "telephone_number": "414-625-0775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6940 S Timber Ridge Ln Apt 10306",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531541369",
            "country_code": "US",
            "telephone_number": "414-625-0775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADETORO",
        "first_name": "PATRICE",
        "middle_name": "MONIQUE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "192968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pmadetoro@gmail.com",
            "affiliation": "N",
            "address_1": "6940 S Timber Ridge Ln Apt 10306",
            "city": "Oak Creek",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531541369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pmadetoro@gmail.com",
            "affiliation": "N",
            "address_1": "13500 Noel Rd Apt 131",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752405057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PATRICE",
            "last_name": "KING",
            "middle_name": "MONIQUE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Nurse in Dallas, TX
• Providers in Dallas, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.