IYABODE AJIBOLA (NPI# 1861027872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861027872 |
| Entity Type | Individual |
| Full Name | IYABODE AJIBOLA |
| Practice Address |
3508 Far West Blvd Austin TX 78731-3080 |
| Mailing Address |
3508 Far West Blvd Ste 130 Austin TX 78731-3081 |
| Practice Telephone | 5128283990 |
| Mailing Telephone | 5128283990 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
919453 | TX | Nursing Service Providers |
| Street Address |
3508 FAR WEST BLVD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-3080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730173428 | Benjamin E Keene | Physical Therapist | 3508 Far West Blvd, Suite 240, Austin, TX 78731-3080 | 2005-09-08 |
| 1679197206 | Andrea Marie Hardies | Registered Nurse | 3508 Far West Blvd, Austin, TX 78731-3080 | 2020-05-29 |
| 1780204040 | Homa Sharifi | Registered Nurse | 3508 Far West Blvd, Austin, TX 78731-3080 | 2020-04-16 |
| 1164051330 | Martha Lorenza Ortiz | Registered Nurse | 3508 Far West Blvd, Austin, TX 78731-3080 | 2020-04-08 |
| 1790311553 | Jennifer Poehl | Registered Nurse | 3508 Far West Blvd, Austin, TX 78731-3080 | 2020-03-12 |
| 1982186433 | Kelly Kullenberg | Licensed Vocational Nurse | 3508 Far West Blvd, Austin, TX 78731-3080 | 2018-08-31 |
| 1285115303 | Zakary Joseph Suttles | Licensed Practical Nurse | 3508 Far West Blvd, Austin, TX 78731-3080 | 2018-08-27 |
| 1912488172 | Josefina Elizabeth Rodriguez | Registered Nurse | 3508 Far West Blvd, Austin, TX 78731-3080 | 2018-08-26 |
| 1609355379 | Catherine Suzanne Sherrow | Registered Nurse | 3508 Far West Blvd, Austin, TX 78731-3080 | 2018-08-13 |
| 1245718477 | Jaimee N Kelton | Registered Nurse | 3508 Far West Blvd, Austin, TX 78731-3080 | 2018-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035550 | Medheart | Registered Nurse | 1801 Wells Branch Pkwy Apt 2102, Austin, TX 78728-6929 | 2020-02-21 |
| 1730658477 | Christine Lena Novak | Registered Nurse | 9301 Hog Eye Rd Unit 318, Austin, TX 78724-4608 | 2018-11-23 |
| 1851869234 | Blue Agave Wound Care Solutions LLC | Registered Nurse | 10109 Lake Creek Pkwy Unit 170434, Austin, TX 78717-0119 | 2018-11-05 |
| 1992286645 | Jenna Marie Prather | Registered Nurse | 9008 Sun Shower Bnd, Austin, TX 78724-7214 | 2018-08-21 |
| 1639658610 | Francis Irene Sutton | Registered Nurse | 6934 E Ben White Blvd Apt 11108, Austin, TX 78741-0040 | 2018-08-09 |
| 1841794435 | Mackenzie Jane Courson | Registered Nurse | 1524 S Ih 35 Ste 300, Austin, TX 78704-2603 | 2018-03-20 |
| 1659787638 | Ellen Sarah Huffman | Registered Nurse | 611 1st Ave Sw, Austin, MN 55912-2504 | 2014-07-10 |
| 1972887453 | Elizabeth Ruth Hall-moten | Registered Nurse | 9009 North Fm 620, Ste 1313, Austin, TX 78726-4200 | 2011-10-03 |
| 1730489097 | Yuridia Barrera | Registered Nurse | 1524 S I 35, Suite 300, Austin, TX 78704-7870 | 2010-11-02 |
| 1679197206 | Andrea Marie Hardies | Registered Nurse | 3508 Far West Blvd, Austin, TX 78731-3080 | 2020-05-29 |
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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.