Individual provider Active NPI

Mayokun Soyebo

  • Registered Nurse
  • Desoto, TX
National Provider Identifier
1962341040
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9582240 Issued in FL
Practice address
1217 Verheyden Dr
Desoto, TX 75115-1253
Phone
(682) 218-9747
Fax
(469) 780-7539
NPI assigned
Mar 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9582240 FL Primary

Addresses

Primary practice location

1217 Verheyden Dr
Desoto, TX 75115-1253

Mailing address

1217 Verheyden Dr
Desoto, TX 75115-1253
Phone (682) 218-9747

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

LicenseStateTypeSpecialty
RN9582240FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1962341040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 VERHEYDEN DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751151253",
            "telephone_number": "682-218-9747",
            "fax_number": "469-780-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 VERHEYDEN DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751151253",
            "telephone_number": "682-218-9747",
            "fax_number": "469-780-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOYEBO",
        "first_name": "MAYOKUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9582240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.