Active NPI
Abiodun Omotoyo
- Home Health Registered Nurse
- San Antonio, TX
National Provider Identifier
1952966434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 955843
- Practice address
- 8600 Wurzbach Rd Ste 700
San Antonio, TX 78240-4332 - Phone
- (210) 737-8090
- NPI assigned
- May 9, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 955843 | TX | Primary |
Addresses
Primary practice location
8600 Wurzbach Rd Ste 700
San Antonio, TX 78240-4332
Mailing address
8600 Wurzbach Rd Ste 700
San Antonio, TX 78240-4332
Phone (210) 737-8090
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 955843 | TX | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1952966434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 WURZBACH RD STE 700",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782404332",
"telephone_number": "210-737-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 WURZBACH RD STE 700",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782404332",
"telephone_number": "210-737-8090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMOTOYO",
"first_name": "ABIODUN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-09",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "TX",
"license": "955843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.