MR. ADEGBOYEGA OMOBA (NPI# 1144713611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144713611 |
Entity Type | Individual |
Full Name | MR. ADEGBOYEGA OMOBA |
Credential | PMHNP-BC |
Practice Address |
1406 Anglican Drive Arlington TX 76002 |
Mailing Address |
1406 Anglican Dr Arlington TX 76002-3741 |
Practice Telephone | 8177048116 |
Mailing Telephone | 8177048116 |
Enumeration Date | 2018-06-11 |
Last Update Date | 2018-08-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 840719 | TX | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP137736 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1406 ANGLICAN DRIVE |
City | ARLINGTON |
State | TX |
Zip Code | 76002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568963767 | Heather Nicole Levine | Speech-Language Pathologist | 600 Soledad, Arlington, TX 76002 | 2018-02-22 |
1346751732 | Arch Dental of Debbie Pa | Dentist | 1450 Debbie Lane, Suite #130, Arlington, TX 76002 | 2017-10-12 |
1104270628 | Hayley Hendon | Nurse Practitioner | 8200 Matlock Road, Arlington, TX 76002 | 2016-04-21 |
1770955239 | M & A Pharmacy LLC | Pharmacy | 8200 Matlock Road, Ste 150, Arlington, TX 76002 | 2015-10-23 |
1831441898 | Nupur Merchant | Occupational Therapist | 7100 Matlock Rd., Arlington, TX 76002 | 2012-10-15 |
1073813242 | Joma Home Care Inc | Clinic/Center | 7401 Matlock Rd, Suite 7, Arlington, TX 76002 | 2010-10-22 |
1467786905 | Olaniyi Samuel Adeoye | Registered Nurse | 8209 San Jose Street, Arlington, TX 76002 | 2009-10-01 |
1639319551 | Kirk Henry Bradford | Chiropractor | 1219 E. Debbie Lane, Suite 103, Mansfield, TX 76002 | 2009-03-05 |
1366788739 | Darlene Tran Co | Registered Nurse | 1802 Empire Cir, Arlington, TX 76002 | 2012-12-12 |
1689177115 | Sharon Denise Chase | Licensed Vocational Nurse | 907 Plumeria Dr, Arlington, TX 76002-2402 | 2018-03-11 |
Find all providers in zip 76002 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821698754 | Christienne Felice Solis Callasan | Nurse Practitioner | 1010 Palos Verdes Blvd, Arlington, TX 76017-1780 | 2020-10-29 |
1801404504 | Olive Green Behavioral Health Services Pllc | Nurse Practitioner | 4621 S Cooper St Ste 131-497, Arlington, TX 76017-5866 | 2020-07-20 |
1912524687 | Judi Saini | Nurse Practitioner | 12 Old Colony Ln Apt 9, Arlington, MA 02476-4413 | 2020-06-29 |
1396360269 | Restoring Minds Behavioral Services LLC | Nurse Practitioner | 2909 E Arkansas Ln Ste C, Arlington, TX 76010-6930 | 2020-06-16 |
1588286793 | Creative Minds Behavioral Health, LLC | Nurse Practitioner | 110 W Randol Mill Rd Ste 200, Arlington, TX 76011-4612 | 2020-05-11 |
1497390694 | Ijeoma Esther Osuji | Nurse Practitioner | 5307 Alta Vista Lane, Arlington, TX 76017 | 2019-11-12 |
1194367813 | Agather Onyango | Nurse Practitioner | 725 Sendero Dr, Arlington, TX 76002-5715 | 2019-10-14 |
1710535398 | Ebelechukwu Ekwenugo | Nurse Practitioner | 616 Jagera Way, Arlington, TX 76002-4582 | 2019-08-28 |
1427514553 | Fast Behavorial Health Corporation | Nurse Practitioner | 1406 Anglican Dr, Arlington, TX 76002-3741 | 2019-02-13 |
1184129157 | Perfect Peace Health Consultants Pllc | Nurse Practitioner | 1401 Gilday Dr, Arlington, TX 76002-3734 | 2018-03-29 |
Find all providers in ARLINGTON |
Please comment or provide details below to improve the information on MR. ADEGBOYEGA OMOBA.
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.