MRS. IYABO O ADEBIYI (NPI# 1053633677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053633677 |
| Entity Type | Individual |
| Full Name | MRS. IYABO O ADEBIYI |
| Credential | RN |
| Practice Address |
900 Stark Rd Starkville MS 39759-3613 |
| Practice Telephone | 6623235033 |
| Practice Fax Number | 6623235053 |
| Mailing Telephone | 6623235033 |
| Mailing Fax Number | 6623235053 |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2010-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
0123456 | MS | Nursing Service Providers |
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
0123456 | MS | Nursing Service Providers |
| N | 163WN1003X |
Registered Nurse Specialization: Nutrition Support |
0123456 | MS | Nursing Service Providers |
| N | 163WW0000X |
Registered Nurse Specialization: Wound Care |
0123456 | MS | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | DSMT | 192773 | 01 |
| Street Address |
900 STARK RD |
| City | STARKVILLE |
| State | MS |
| Zip Code | 39759-3613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073628004 | Baze Pharmacy LLC | Pharmacy | 900 Stark Rd, Starkville, MS 39759-3613 | 2006-08-20 |
| 1497389902 | Lydia Ruth Rice | Nurse Practitioner | 900 Stark Rd, Starkville, MS 39759-3613 | 2020-02-24 |
| 1992273072 | Ernestine Ivy | Nurse Practitioner | 900 Stark Rd, Starkville, MS 39759-3613 | 2018-11-07 |
| 1265921613 | Baze Pharmacy LLC | Pharmacist | 900 Stark Rd, Starkville, MS 39759-3613 | 2018-05-01 |
| 1699262089 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 900 Stark Rd, Starkville, MS 39759-3613 | 2018-04-20 |
| 1609117514 | Mae Palina Clark | Dietitian, Registered | 900 Stark Rd, Starkville, MS 39759-3613 | 2013-03-04 |
| 1457668246 | Baze Pharmacy LLC | Pharmacy | 900 Stark Rd, Starkville, MS 39759-3613 | 2010-09-01 |
| 1316040264 | Felicia Deloris Edwards | Nurse Practitioner | 900 Stark Rd, Starkville, MS 39759-3613 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749274 | Medplus Starkville LLC | Clinic/Center | 1207 Ms 182, Starkville, MS 39759 | 2020-10-29 |
| 1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
| 1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
| 1477174928 | Tina Whitehead | Massage Therapist | 518 Hwy 12 W, Starkville, MS 39759 | 2020-05-06 |
| 1699334284 | Ashley Kelton | Speech-Language Pathologist | Speech Therapy for Kids, 1411 Highway 389, Starkville, MS 39759 | 2019-06-07 |
| 1851850838 | Austin Fitzpatrick | Specialist/Technologist | 145 Lakeview Drive, Starkville, MS 39759 | 2019-03-18 |
| 1730645243 | Methodist of Mississippi Hospital & Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 101 G T Thames Dr, Starkville, MS 39759 | 2019-02-20 |
| 1457854648 | Ryan Lamar Dotson | Specialist/Technologist | 55 Coliseum Blvd, Starkville, MS 39759 | 2018-03-14 |
| 1679085948 | Alan Evans | Specialist | 106 North Lafayette St, Starkville, MS 39759 | 2017-10-26 |
| 1275057275 | Southern Foundation for Homeless Children | Home Health | 317 Martin Luther King Drive, Suite 102, Starkville, MS 39759 | 2017-08-01 |
| Find all providers in zip 39759 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717347 | Jennifer Ann Taylor | Registered Nurse | 29436 Ms Highway 32, Charleston, MS 38921-6602 | 2020-07-10 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| 1699054403 | Margrett R. Davis | Registered Nurse | 350 W Woodrow Wilson Ave Ste 107, Jackson, MS 39213-7682 | 2011-08-10 |
| 1134656812 | Kelley Pounds | Registered Nurse | 5909 U S Highway 49, Suite 30, Hattiesburg, MS 39402-2860 | 2017-05-12 |
| 1548626575 | Keisha Pruitt Luckey | Registered Nurse | 2500 N State St, 2500 North State Street, Jackson, MS 39216-4500 | 2016-01-06 |
| 1073996005 | North Mississippi Medical Clinics Inc | Registered Nurse | 410 Council Cir, Tupelo, MS 38801-4938 | 2015-07-08 |
| 1164815940 | Michael James Furlow | Registered Nurse | 1860 Chadwick Dr Ste 305, Jackson, MS 39204-3467 | 2015-03-18 |
| 1477872281 | Judith M Champion | Registered Nurse | 1040 River Oaks Dr, Ste. 302, Jackson, MS 39232-9530 | 2010-05-19 |
| 1477872273 | Toni L. Cooper | Registered Nurse | 1040 River Oaks Dr, Ste. 302, Jackson, MS 39232-9530 | 2010-05-19 |
| City | STARKVILLE |
| Zip Code | 39759 |
Please comment or provide details below to improve the information on MRS. IYABO O ADEBIYI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.