OLABISI OMOWUMI AYEDUN (NPI# 1710483615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710483615 |
| Entity Type | Individual |
| Full Name | OLABISI OMOWUMI AYEDUN |
| Credential | LVN |
| Practice Address |
1349 Empire Central Dr Dallas TX 75247-4066 |
| Mailing Address |
4105 Autumn Ridge Ct Arlington TX 76016-3808 |
| Practice Telephone | 4693648600 |
| Mailing Telephone | 9727044209 |
| Enumeration Date | 2018-04-01 |
| Last Update Date | 2018-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 228251 | TX | Nursing Service Providers |
| Street Address |
1349 EMPIRE CENTRAL DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75247-4066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700046091 | Kimberly Deann Place | Speech-Language Pathologist | 1349 Empire Central Dr, Suite 516, Dallas, TX 75247-4066 | 2008-06-11 |
| 1629515994 | Chloe Wright Schilhab | Physical Therapist | 1349 Empire Central Dr, Dallas, TX 75247-4066 | 2017-01-25 |
| 1265986566 | Dana Cain | Physical Therapy Assistant | 1349 Empire Central Dr, 516, Dallas, TX 75247-4066 | 2016-08-04 |
| 1386027894 | Nacona Davis | Speech-Language Pathologist | 1349 Empire Central Dr, Suite 516, Dallas, TX 75247-4066 | 2015-07-01 |
| 1588046130 | Margaret Sumrell | Speech-Language Pathologist | 1349 Empire Central Dr, Suite 516, Dallas, TX 75247-4066 | 2015-06-19 |
| 1699167718 | Alicia Miller | Speech-Language Pathologist | 1349 Empire Central Dr, Suite 516, Dallas, TX 75247-4066 | 2015-02-26 |
| 1093106098 | Jessica Flores | Specialist/Technologist | 1349 Empire Central Dr, Suite 516, Dallas, TX 75247-4066 | 2015-02-11 |
| 1750783981 | Kelly Graham | Speech-Language Pathologist | 1349 Empire Central Dr, Suite 516, Dallas, TX 75247-4066 | 2014-09-18 |
| 1922407287 | David Cavazos | Physical Therapist | 1349 Empire Central Dr, Suite 516, Dallas, TX 75247-4066 | 2014-08-21 |
| 1962811323 | Sarah Case | Speech-Language Pathologist | 1349 Empire Central Dr, Suite 516, Dallas, TX 75247-4066 | 2014-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973842 | Paramount Medical Rehabilitation LLC | Clinic/Center | 8585 North Stemmons Freeway Ste 107-s, Dallas, TX 75247 | 2020-08-19 |
| 1750916144 | Sunshine Kids Pediatric Day Center, LLC | Nursing Care | 9127-9131 King Arthur Boulevard, Dallas, TX 75247 | 2020-03-06 |
| 1740789924 | Jennifer Pauli | Nurse Practitioner | 7610 N Stemmons Fwy Ste 360, Dallas, TX 75247 | 2018-02-02 |
| 1669991097 | Kai Medical Laboratories, LLC | Pathology | 8230 Elmbrook Dr Ste 200, Dallas, TX 75247 | 2017-09-18 |
| 1174055610 | Hoa Perkins | Technician/Technologist | 1499 Regal Row Suite 505a, Dallas, TX 75247 | 2017-04-03 |
| 1376910018 | Integron LLC | Clinical Medical Laboratory | 5139 Sharp Street, Dallas, TX 75247 | 2015-08-28 |
| 1710364575 | T.e.a.m. | Community/Behavioral Health | 1140 Empire Central Blvd, 520, Dallas, TX 75247 | 2015-04-30 |
| 1093053126 | Guardian Health Systems Aurora | Pharmacy | 7920 Elmbrook Drive Suite 108, Suite 108, Dallas, TX 75247 | 2013-01-24 |
| 1457665317 | Pediatric Home Healthcare, LLC | Home Health | 1341 W Mockingbird Ln Ste 245e, Dallas, TX 75247 | 2010-08-03 |
| 1275846388 | Another Chancee, Inc. | Social Worker | 1140 Empire Central Drive, Suite 260, Dallas, TX 75247 | 2010-07-17 |
| Find all providers in zip 75247 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184970 | Jasminn Williams | Licensed Vocational Nurse | 3323 Renaissance Dr, Dallas, TX 75287-5950 | 2020-11-04 |
| 1528665650 | Cherita A Miranda | Licensed Vocational Nurse | 2465 Matland Dr, Dallas, TX 75237-2715 | 2020-10-01 |
| 1386251361 | David Ayanwole Alayande | Licensed Vocational Nurse | 8081 Marvin D Love Fwy Apt 630, Dallas, TX 75237-3730 | 2020-09-24 |
| 1972119188 | Gladys Tafadzwa Mufakose | Licensed Vocational Nurse | 5353 Keller Springs Rd Apt 221, Dallas, TX 75248-2700 | 2020-09-22 |
| 1952917932 | Bridgette M Lathan | Licensed Vocational Nurse | 10477 Metric Dr # 217, Dallas, TX 75243-5522 | 2020-09-16 |
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1578184453 | Lindsey Leah Johnson | Licensed Vocational Nurse | 4859 Cedar Springs Rd Apt 256, Dallas, TX 75219-1292 | 2020-05-01 |
| 1043830888 | Simbarashe Mupfayi | Licensed Vocational Nurse | 5711 Preston Oaks Rd, Dallas, TX 75254-9000 | 2020-04-22 |
| 1487274221 | Mahder Admassu Ossa | Licensed Vocational Nurse | 4911 Haverwood Ln Apt 3222, Dallas, TX 75287-4442 | 2020-04-22 |
| 1790323913 | Rochelle L Johnson | Licensed Vocational Nurse | 4656 Saint Francis Ave Apt 104, Dallas, TX 75227-1896 | 2019-12-18 |
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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.