MARY ABIMBOLA ADERINKOMI (NPI# 1639207723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639207723 |
| Entity Type | Individual |
| Full Name | MARY ABIMBOLA ADERINKOMI |
| Practice Address |
1953 University Ave W Saint Paul MN 55104-3427 |
| Mailing Address |
10781 Regent Ave N Brooklyn Park MN 55443-5003 |
| Practice Telephone | 6516590208 |
| Practice Fax Number | 6516590161 |
| Mailing Telephone | 6516590208 |
| Mailing Fax Number | 6516590161 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | L043096-8 | MN | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 5900010 | 01 |
| MN | UCARE MN | 106502 | 01 |
| MN | BCBS | 4J19CA | 01 |
| MN | UCARE MN PCA | 181585 | 01 |
| MN | HEALTH PARTNERS | 37865 | 01 |
| Street Address |
1953 UNIVERSITY AVE W |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-3427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316078264 | Donna Bartow | Registered Nurse | 1953 University Ave W, Saint Paul, MN 55104-3427 | 2007-03-09 |
| 1881725745 | Jana Lynne Gegen | Registered Nurse | 1953 University Ave W, Saint Paul, MN 55104-3427 | 2007-03-09 |
| 1013048909 | Anne Coleman | Registered Nurse | 1953 University Ave W, Saint Paul, MN 55104-3427 | 2007-03-09 |
| 1790816668 | Laurie Malm-gerhardson | Registered Nurse | 1953 University Ave W, Saint Paul, MN 55104-3427 | 2007-03-09 |
| 1306977830 | Carol Osterhout | Registered Nurse | 1953 University Ave W, Saint Paul, MN 55104-3427 | 2007-03-08 |
| 1154452613 | Kay Benschop | Registered Nurse | 1953 University Ave W, Saint Paul, MN 55104-3427 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306322235 | Rayneisha Varner | Licensed Practical Nurse | 1081 Jenks Ave, Saint Paul, MN 55106-3309 | 2018-07-13 |
| 1386028934 | Abigail Weingarten | Licensed Practical Nurse | 1322 Alton St Apt 115, Saint Paul, MN 55116-3116 | 2015-07-14 |
| 1538566898 | Roy Henline | Licensed Practical Nurse | 7981 Sunnyside Rd, Saint Paul, MN 55112-5939 | 2014-12-01 |
| 1295147981 | Lauri Elizabeth Goetz | Licensed Practical Nurse | 2092 Case Ave E, Saint Paul, MN 55119 | 2014-05-29 |
| 1659535201 | Steven Charles Oakley | Licensed Practical Nurse | 24 Saint Albans St S Apt 3, Saint Paul, MN 55105-3471 | 2008-07-14 |
| 1083876841 | Vida Joy Letourneau | Licensed Practical Nurse | 347 Ramsey St, Unit A, Saint Paul, MN 55102-2323 | 2008-07-01 |
| 1073720751 | Mary Ellen Brandt | Licensed Practical Nurse | 1418 Woodbridge St, Saint Paul, MN 55117-4413 | 2007-05-16 |
| 1306472956 | Roshelle Lynn Chavez | Licensed Practical Nurse | 856 University Ave W, Saint Paul, MN 55104-4807 | 2020-03-16 |
| 1124501515 | Matthew Alan Klimek | Licensed Practical Nurse | 225 Smith Ave N Ste 400, Saint Paul, MN 55102-2568 | 2018-09-11 |
| 1174005144 | Devin Newton | Licensed Practical Nurse | 856 University Ave W, Saint Paul, MN 55104-4807 | 2018-09-05 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on MARY ABIMBOLA ADERINKOMI.
| 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.