Individual provider Active NPI

Christianah F Adejuyigbe

  • Pediatric Registered Nurse
  • Richmond, TX
National Provider Identifier
1982372280
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
1048814 Issued in TX
Practice address
20220 Bellaire Blvd Apt 1104
Apatment 1104
Richmond, TX 77407-3932
Phone
(832) 614-4504
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 1048814 TX Primary

Addresses

Primary practice location

20220 Bellaire Blvd Apt 1104
Apatment 1104
Richmond, TX 77407-3932

Mailing address

20220 Bellaire Blvd Apt 1104
Apatment 1104
Richmond, TX 77407-3932
Phone (832) 614-4504

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
1048814TXMDPediatric Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1982372280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20220 BELLAIRE BLVD APT 1104",
            "address_2": "APATMENT 1104",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073932",
            "telephone_number": "832-614-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20220 BELLAIRE BLVD APT 1104",
            "address_2": "APATMENT 1104",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073932",
            "telephone_number": "832-614-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADEJUYIGBE",
        "first_name": "CHRISTIANAH",
        "middle_name": "F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "1048814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.