ELIZABETH ADEBAYO NP NPI 1659871168

NPI Information

NPI: 1659871168
Provider Name: ELIZABETH ADEBAYO, NP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
1709 MARTIN LUTHER KING JR BLVD STE C
DALLAS, TX
ZIP 75215
Phone: (469) 256-4063
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Elizabeth Adebayo, NP is a primary care nurse practitioner in Dallas, TX with 6 years of experience. Elizabeth Adebayo, NP NPI is 1659871168. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1709 MARTIN LUTHER KING JR BLVD STE C
DALLAS, TX
ZIP 75215-282
Phone: (469) 256-4063

The NPI 1659871168 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/20/2018 and was last updated on 1/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		807558	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	AP141489	TEXAS	No
3	363LP2300X	Nurse Practitioner	Primary Care	AP141489	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1659871168	OTHER		MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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