VICTORIA REMILEKUN FADARE (NPI# 1174050264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174050264 |
| Entity Type | Individual |
| Full Name | VICTORIA REMILEKUN FADARE |
| Practice Address |
302 W Rector St San Antonio TX 78216-5718 |
| Mailing Address |
Po Box 87 San Antonio TX 78291-0087 |
| Practice Telephone | 2103580800 |
| Practice Fax Number | 2103580850 |
| Mailing Telephone | 2103589500 |
| Mailing Fax Number | 2103589183 |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP137116 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 919 Saddlebrook Dr, San Antonio, TX 782451630 | 2109948210 |
| Street Address |
302 W RECTOR ST |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-5718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386613024 | Francisco Ayala | Family Medicine | 302 W Rector St, San Antonio, TX 78216-5718 | 2006-03-15 |
| 1922582204 | Nicole Farrell | Pharmacist | 302 W Rector St, San Antonio, TX 78216-5718 | 2018-09-21 |
| 1205285210 | Vera Sarkodie | Pediatrics | 302 W Rector St, San Antonio, TX 78216-5718 | 2016-06-09 |
| 1265896641 | Martine Seudeal | Family Medicine | 302 W Rector St, San Antonio, TX 78216-5718 | 2016-04-11 |
| 1225464688 | Denise Warren | Registered Nurse | 302 W Rector St, San Antonio, TX 78216-5718 | 2013-09-17 |
| 1659710044 | Iyunoluwa Agboola | Family Medicine | 302 W Rector St, San Antonio, TX 78216-5718 | 2013-06-18 |
| 1407198344 | Ping Ho | Nurse Practitioner | 302 W Rector St, San Antonio, TX 78216-5718 | 2013-03-18 |
| 1780931873 | Mehrnoosh Zaeri Monjazeb | Family Medicine | 302 W Rector St, San Antonio, TX 78216-5718 | 2012-08-08 |
| 1477817609 | Nabaa Zalzala | Family Medicine | 302 W Rector St, San Antonio, TX 78216-5718 | 2012-07-03 |
| 1881822179 | Anindita Ahmed | Family Medicine | 302 W Rector St, San Antonio, TX 78216-5718 | 2009-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930558 | Iyobosasere Ighoroje | Nurse Practitioner | 11212 Tx - 151, San Antonio, TX 78251 | 2020-10-19 |
| 1275131773 | Zaheer Uddin Sarwar | Nurse Practitioner | 17803 Maui Sands, San Antonio, TX 78255-3345 | 2020-10-15 |
| 1386259802 | Melanie Vanessa Morawiec | Nurse Practitioner | 155 E Sonterra Blvd Ste 101, San Antonio, TX 78258-3988 | 2020-09-11 |
| 1588207468 | April Louise Lumpkins | Nurse Practitioner | 1630 Mogford Rd, San Antonio, TX 78264-9243 | 2019-10-23 |
| 1396391942 | Wilmer Kyle Mounger | Nurse Practitioner | 12014 Fort Leaton, San Antonio, TX 78254-6363 | 2019-08-09 |
| 1710456629 | Lisa Spivey | Nurse Practitioner | 103 Tanglebriar Ln Apt C, San Antonio, TX 78209-3912 | 2018-11-20 |
| 1730654112 | Margaret Von Der Embse | Nurse Practitioner | 111 Probandt Unit 401, San Antonio, TX 78204-1997 | 2018-10-11 |
| 1083193460 | Christopher Esparza | Nurse Practitioner | 919 Locke St, San Antonio, TX 78208-2127 | 2018-08-07 |
| 1902393812 | Wound Healing Partners Pllc | Nurse Practitioner | 5902 Venado Trl, San Antonio, TX 78240-3364 | 2018-04-16 |
| 1134622343 | Doll House Medspa LLC | Nurse Practitioner | 1205 N Loop 1064 W, Suite 225, San Antonio, TX 78258 | 2018-03-14 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
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| 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.