OLABISI OLUSEUN AGBAJE (NPI# 1730698317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730698317 |
| Entity Type | Individual |
| Full Name | OLABISI OLUSEUN AGBAJE |
| Credential | APRN |
| Practice Address |
135 River North Blvd Stephenville TX 76401-1804 |
| Mailing Address |
1100 W Reynosa Ave De Leon TX 76444-1630 |
| Practice Telephone | 2549652810 |
| Practice Fax Number | 8662989572 |
| Mailing Telephone | 2548935895 |
| Mailing Fax Number | 8662989572 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2019-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP135050 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 104 S Park Dr, Brownwood, TX 768015918 | 3256460704 | 8662476022 |
| 1100 W Reynosa Ave, De Leon, TX 764441630 | 2548935895 | 8662476022 |
| 14016 Sparrow Hill Dr, Little Elm, TX 750684949 | (407) 491-7215 | |
| 3804 Highway 377 S, Brownwood, TX 768015120 | 3256435167 | 8662476022 |
| Street Address |
135 RIVER NORTH BLVD |
| City | STEPHENVILLE |
| State | TX |
| Zip Code | 76401-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467434233 | Wednesday M Henry | Nurse Practitioner | 135 River North Blvd, Stephenville, TX 76401-1804 | 2005-11-17 |
| 1457911935 | Whitney Ryon Garland | Physician Assistant | 135 River North Blvd, Stephenville, TX 76401-1804 | 2019-06-18 |
| 1427499219 | Aditi Gupta | Dentist | 135 River North Blvd, Stephenville, TX 76401-1804 | 2013-07-10 |
| 1710233366 | Marc Aaron Saldivar | Physician Assistant | 135 River North Blvd, Stephenville, TX 76401-1804 | 2012-08-01 |
| 1346534302 | Sunitha Malla | Family Medicine | 135 River North Blvd, Stephenville, TX 76401-1804 | 2011-06-07 |
| 1275830390 | Cross Timbers Health Clinics, Inc | Clinic/Center | 135 River North Blvd, Stephenville, TX 76401-1804 | 2011-02-25 |
| 1205084555 | Ruth Reeves | Family Medicine | 135 River North Blvd, Stephenville, TX 76401-1804 | 2008-08-28 |
| 1932303278 | David Scott Pool | Counselor | 135 River North Blvd, Stephenville, TX 76401 | 2007-06-12 |
| 1366581753 | Gene Raney | Dentist | 135 River North Blvd, Stephenville, TX 76401-1804 | 2007-02-05 |
| 1922059906 | John Wendell Christophe | Dentist | 135 River North Blvd, Stephenville, TX 76401-1804 | 2006-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421930 | Catherine Johns | Speech-Language Pathologist | 418 County Road 428, # 418, Stephenville, TX 76401 | 2019-11-12 |
| 1457828683 | Allison Ann Luedeker | Nurse Practitioner | 950 Bluebonnet Street, Stephenville, TX 76401 | 2018-10-25 |
| 1326528092 | Stephanie Renee Drake | Speech-Language Pathologist | 1739 Bull Elk Dr, Stephenville, TX 76401 | 2018-08-21 |
| 1528564804 | Dylan D Dawson | Specialist/Technologist | 1590 Washington St, Stephenville, TX 76401 | 2018-04-04 |
| 1730680117 | Alison Lea Reynolds | Licensed Vocational Nurse | 208 Prairie Wind, Stephenville, TX 76401 | 2018-02-22 |
| 1760855977 | Gina Neri | Physical Therapy Assistant | 1670 West Lingley Rd, Stephenville, TX 76401 | 2015-11-10 |
| 1104216886 | Edmund Case Horton | Rehabilitation Counselor | 2443-8 Nw Loop, Stephenville, TX 76401 | 2015-02-02 |
| 1043648215 | Cross Timbers Imaging | Radiology | 561 N. Graham St, Stephenville, TX 76401 | 2013-10-24 |
| 1306273362 | Kelley Camille Verpooten | Counselor | 239 S. Virginia Street, Stephenville, TX 76401 | 2013-10-04 |
| 1477735140 | Nanette V Evans M.d., P.a. | Radiology | 150 Rivernorth Blvd., Stephenville, TX 76401 | 2007-12-04 |
| Find all providers in zip 76401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457828683 | Allison Ann Luedeker | Nurse Practitioner | 950 Bluebonnet Street, Stephenville, TX 76401 | 2018-10-25 |
| 1114329398 | Bridgette Bednarz | Nurse Practitioner | Po Box T-0360, Stephenville, TX 76402-0001 | 2014-09-19 |
| 1063407922 | Community Health Clinic | Nurse Practitioner | 160 River North Blvd, Stephenville, TX 76401-1803 | 2005-09-16 |
| 1023662731 | Ashton Renee Long | Nurse Practitioner | 205 E Frey St Ste 201, Stephenville, TX 76401-2600 | 2019-07-31 |
| 1740746528 | Lisa Cooper | Nurse Practitioner | 411 N Belknap St, Stephenville, TX 76401-3415 | 2019-02-16 |
| 1265917918 | Cortney Fanning | Nurse Practitioner | 150 River North Blvd, Stephenville, TX 76401-1860 | 2018-09-28 |
| 1629210901 | Samantha Noel Pehl | Nurse Practitioner | 150 River North Blvd, Stephenville, TX 76401-1803 | 2009-04-01 |
| 1043336175 | Julie Marie Ruggles | Nurse Practitioner | 2216 W Washington St, Stephenville, TX 76401-3838 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1891396586 | Stacey Lynne Ready | Nurse Practitioner | 200 Uptmore Rd, West, TX 76691-2339 | 2020-11-08 |
| 1992306609 | Jillian Mcclintock | Nurse Practitioner | 2506 Graystone Ln, Corinth, TX 76210-1607 | 2020-11-08 |
| 1851992515 | Stacie A Gregg | Nurse Practitioner | 1229 Johnny Ln, San Angelo, TX 76905-2331 | 2020-11-07 |
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1629679782 | Kristen Aili Johnson | Nurse Practitioner | 3850 Fm 18, Abilene, TX 79602-2004 | 2020-11-05 |
| 1376144303 | Stephanie Renee Knight | Nurse Practitioner | 4326 Egret Dr, Seabrook, TX 77586-2557 | 2020-11-05 |
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1518568419 | Ian Mardis | Nurse Practitioner | 12528 Tierra Encino Dr, El Paso, TX 79938-4525 | 2020-11-05 |
| 1851992994 | Angela Davis | Nurse Practitioner | 9523 Scanlan Heights Ln, Missouri City, TX 77459-5503 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | STEPHENVILLE |
| Zip Code | 76401 |
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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.