MRS. IDOWU AWOSERE (NPI# 1659691285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659691285 |
| Entity Type | Individual |
| Full Name | MRS. IDOWU AWOSERE |
| Credential | PMHNP |
| Practice Address |
4645 Samuell Blvd Dallas TX 75228-6826 |
| Mailing Address |
10586 Shire View Dr Frisco TX 75035-9192 |
| Practice Telephone | 9728615611 |
| Enumeration Date | 2010-06-05 |
| Last Update Date | 2020-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1018462 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4645 SAMUELL BLVD |
| City | DALLAS |
| State | TX |
| Zip Code | 75228-6826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720001118 | Kristen H Grable | Psychiatry & Neurology | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2006-07-26 |
| 1710587845 | Ijeoma Agolue | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2020-10-28 |
| 1144883414 | Trendolyn Desha Davis | Counselor | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2019-04-22 |
| 1659842987 | Caroline Moraa Tomlinson | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2018-12-16 |
| 1487122073 | Stanley Imoleayo Okeyemi | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2018-11-13 |
| 1720593981 | Kemi Fawehinmi | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2017-12-11 |
| 1689124125 | Latifat Adelekan-adeogun | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2016-10-07 |
| 1730554890 | Derica Perez | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2015-12-01 |
| 1396172631 | Raigina Lenette Preston | Nurse Practitioner | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2013-10-01 |
| 1811240013 | Metrocare | Clinic/Center | 4645 Samuell Blvd, Dallas, TX 75228-6826 | 2012-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437625092 | Le Reve Rehab & Mc LLC | Skilled Nursing Facility | 3309 Dilido Road, Dallas, TX 75228 | 2018-10-22 |
| 1083905053 | R2j Investments LLC | Pharmacy | 6300 Samual Blvd, Ste #118, Dallas, TX 75228 | 2011-04-26 |
| 1376709493 | Rupen Suresh Amin | Family Medicine | 2360 Gus Thomasson Rd, Dallas, TX 75228 | 2008-07-29 |
| 1356512453 | Affirm Healthcare, LLC | Home Health | 10950 Woodmeadow Pkwy, #223, Dallas, TN 75228 | 2008-03-17 |
| 1629280110 | Shining Star Home Health Care Inc | Home Health | 8344 East R L Thronton Fwy, Ste # 203, Dallas, TX 75228 | 2007-05-04 |
| 1922123728 | Federico Maese | Family Medicine | 12601 E. Northwest Hwy, Dallas, TX 75228 | 2007-03-20 |
| 1578602223 | Rob F Smith | Social Worker | 8035 East R L Thornton Freeway, Suite #503, Dallas, TX 75228 | 2007-02-06 |
| 1710037023 | Candace Freeman Mcdaniel | Family Medicine | 8021 East R. L. Thornton Frwy, Suite A, Dallas, TX 75228 | 2007-01-11 |
| 1841376175 | Dana Ray Scott | Dentist | 2335 Gus Thomasson, Dallas, TX 75228 | 2006-10-30 |
| 1255425625 | Optimal Home Health Inc | Home Health | 8344 E R L Thornton Fwy Ste 214, Dallas, TX 75228 | 2006-10-03 |
| Find all providers in zip 75228 | ||||
| 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 |
|---|---|---|---|---|
| 1366052805 | Deadra Jordan | Nurse Practitioner | 5995 Summerside Dr Unit 795142, Dallas, TX 75379-0095 | 2020-08-07 |
| 1083235691 | Annemarie Osondu Odo | Nurse Practitioner | 9450 Skillman St Ste 120, Dallas, TX 75243-8235 | 2020-05-05 |
| 1740811934 | Kellie Lynn Westmoreland | Nurse Practitioner | 7777 Forest Ln Ste 833, Dallas, TX 75230-2571 | 2020-01-28 |
| 1346871696 | Ebote Ngite Nnoko | Nurse Practitioner | 108 Crescent Woode Dr, Dallas, GA 30157-5725 | 2020-01-27 |
| 1689238461 | Ican Medics and Psych Services Pllc | Nurse Practitioner | 9535 Forest Ln Ste 109, Dallas, TX 75243-5934 | 2019-04-26 |
| 1942773643 | Jo Kutty Kurian | Nurse Practitioner | 6363, Forest Park Road, 7th Floor, Suite 749, Dallas, TX 75390-9121 | 2019-01-04 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1114495983 | Nwamaka Ngumezi | Nurse Practitioner | 3417 Gaston Ave Ste 815, Dallas, TX 75246-2034 | 2018-11-08 |
| 1811406150 | Justin Neal Mehan | Nurse Practitioner | 712 N Washington Ave Ste 411, Dallas, TX 75246-1626 | 2017-09-28 |
| 1114321775 | Shane Tipton | Nurse Practitioner | 6363 Forest Park Road 7th Floor Ste 749, Dallas, TX 75390-4426 | 2014-10-10 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on MRS. IDOWU AWOSERE.
| 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.