Individual provider Active NPI

Eyitayo Onayiga, DNP

  • Family Nurse Practitioner
  • Garland, TX
National Provider Identifier
1972120574
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1026698 Issued in TX
Practice address
2380 Firewheel Pkwy Ste 100
Garland, TX 75040-4023
Phone
(694) 829-6444
Fax
(888) 634-4803
NPI assigned
Jun 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1026698 TX
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 1026698 TX Primary

Addresses

Primary practice location

2380 Firewheel Pkwy Ste 100
Garland, TX 75040-4023

Mailing address

2380 Firewheel Pkwy Ste 100
Garland, TX 75040-4023
Phone (469) 482-9644

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL laptop Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211122001052 TX Practitioner - Nurse Practitioner 8527457027 Reassigns benefits to 2 organizations
I20231020002807 OR Practitioner - Nurse Practitioner 8527457027 Reassigns benefits to 1 organization
I20240606001378 MN Practitioner - Nurse Practitioner 8527457027 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1026698TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Aug 26, 2023 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Sep 15, 2021 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Sep 15, 2021 Accepting new patients
Teracond Home Health Care PastSince Jul 1, 2020 Accepting new patients

Locations

1010 Dale St N
Saint Paul, MN 55117
Phone (612) 482-6610

780 Commercial St SE
Ste 100
Salem, OR 97301
Phone (469) 466-7037

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

6915 West Ave
San Antonio, TX 78213
Phone (210) 341-1487

Organizations & group practices 4

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": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1972120574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 FIREWHEEL PKWY STE 100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750404023",
            "telephone_number": "469-482-9644",
            "fax_number": "888-634-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 FIREWHEEL PKWY STE 100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750404023",
            "telephone_number": "694-829-6444",
            "fax_number": "888-634-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONAYIGA",
        "first_name": "EYITAYO",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1026698",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1026698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "9315 Sycamore Ct N",
            "city": "Maple Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553697116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.