BOSEDE EHIOBU (NPI# 1528527397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528527397 |
| Entity Type | Individual |
| Full Name | BOSEDE EHIOBU |
| Credential | FNP-BC |
| Practice Address |
3103 Denali Dr Irving TX 75063-0141 |
| Practice Telephone | 2147145278 |
| Mailing Telephone | 2147145278 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP141050 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE NUMBER | AP141050 | 01 |
| Street Address |
3103 DENALI DR |
| City | IRVING |
| State | TX |
| Zip Code | 75063-0141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386288868 | Fiesta Lifecare Pharmacy 8 LLC | Pharmacy | 412 E Riley St, Freer, TX 75063 | 2019-10-29 |
| 1013578491 | Bobbie Snow Masenda | Nurse Practitioner | 6161 N Sh 161 Service Rd, Unit 200, Irving, TX 75063 | 2019-06-26 |
| 1164989620 | Ellen Green | Occupational Therapist | 7701 Las Colinas Ridge Suite 110, Irving, TX 75063 | 2019-02-20 |
| 1417412503 | Heda Enterprises, Pllc | Optometrist | 2400 Martket Place Blvd, # 180, Irving, TX 75063 | 2019-02-04 |
| 1861956542 | Hannah Kennedy | Specialist/Technologist | 8249 Ranchview Dr Apt 3087, Irving, TX 75063 | 2019-01-26 |
| 1447732805 | Ziprad Inc | Clinic/Center | 7750 N Macarthur Blvd Ste 120-365, Irving, TX 75063 | 2018-09-02 |
| 1457831646 | Laura Robinson | Specialist/Technologist | 8641 Mill Creek Rd, Irving, TX 75063 | 2018-08-16 |
| 1457845208 | Padmaja Jagdish Ambre | Nurse Practitioner | 516, Raton Pass, Irving, TX 75063 | 2018-06-15 |
| 1407394588 | Optum Infusion Services 500, Inc. | Pharmacy | 8400 Esters Blvd Ste 185, Rm 119, Irving, TX 75063 | 2017-02-08 |
| 1376086561 | Mika Claire Smith | Social Worker | 1175 Kinwest Pky, #100, Irving, TX 75063 | 2016-11-21 |
| Find all providers in zip 75063 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273393 | Neena Latin | Nurse Practitioner | 8003 N Macarthur Blvd Apt 1005, Irving, TX 75063-6149 | 2020-10-22 |
| 1588279533 | Antonio Brizuela | Nurse Practitioner | 536 Mills Ln, Irving, TX 75062-7569 | 2020-09-15 |
| 1275147522 | Cathleen Kerry Guiltinan | Nurse Practitioner | 1718 Shumard Oak Ln, Irving, TX 75063-8400 | 2020-09-03 |
| 1588277289 | Emily Brown | Nurse Practitioner | 4790 Regent Blvd Ste 201, Irving, TX 75063-2403 | 2020-08-24 |
| 1295346070 | Kimberly Barone | Nurse Practitioner | 655 Promenade Apt 4012, Irving, TX 75039-1213 | 2020-08-13 |
| 1972123008 | Melody Gandhi | Nurse Practitioner | 6445 Love Dr Apt 1014, Irving, TX 75039-4080 | 2020-04-18 |
| 1558995092 | Diti Joe Valooran | Nurse Practitioner | 1443 Del Mar Dr, Irving, TX 75060-4880 | 2020-02-24 |
| 1194370668 | Johnelle Suzanne Elizabeth Cooper | Nurse Practitioner | 3915 W Airport Fwy, Irving, TX 75062-5900 | 2019-08-01 |
| 1730653122 | Jennifer Nwangburuka | Nurse Practitioner | 2121 W Airport Fwy Ste 235, Irving, TX 75062-6033 | 2019-01-18 |
| 1457845208 | Padmaja Jagdish Ambre | Nurse Practitioner | 516, Raton Pass, Irving, TX 75063 | 2018-06-15 |
| Find all providers in IRVING | ||||
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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.