Individual provider Active NPI

Adenike Florence Fagbule

  • Licensed Practical Nurse
  • Westerville, OH
National Provider Identifier
1982928891
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
138382 Issued in OH
Practice address
31 Scott CT
Westerville, OH 43081-4946
Phone
(614) 707-9587
NPI assigned
Mar 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 138382 OH Primary

Addresses

Primary practice location

31 Scott CT
Westerville, OH 43081-4946

Mailing address

31 Scott CT
Westerville, OH 43081-4946
Phone (614) 707-9587

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
138382OHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Credence Healthcare Services LLC Current Accepting new patients
Charis-Care LLC Current Accepting new patients

Organizations & group practices 2

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": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269216000000",
    "number": "1982928891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SCOTT CT",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814946",
            "telephone_number": "614-707-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 SCOTT CT",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814946",
            "telephone_number": "614-707-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGBULE",
        "first_name": "ADENIKE",
        "middle_name": "FLORENCE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "138382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.