NPI Code Detail JSON Logo

1568628550 NPI number — ADEPEJU ENITAN CHRISTINA OREDERU REGISTERED NURSE

NPI Number: 1568628550
Health Care Provider/Practitioner: ADEPEJU ENITAN CHRISTINA OREDERU REGISTERED NURSE

Information about “1568628550” NPI (ADEPEJU ENITAN CHRISTINA OREDERU REGISTERED NURSE) exists in 1568628550 in HTML format HTML  |  1568628550 in plain Text format TXT  |  1568628550 in PDF (Portable Document Format) PDF  |  1568628550 in an XML format XML  formats.

NPI Number : 1568628550 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568628550",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OREDERU",
    "FirstName": "ADEPEJU ENITAN",
    "MiddleName": "CHRISTINA",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "REGISTERED NURSE",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ODUFUNADE",
    "OtherFirstName": "ADEPEJU ENITAN",
    "OtherMiddleName": "CHRISTINA",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "REGISTERED P NURSE",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "7 ROBIN ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SCHENECTADY",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "12306-4826",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "518-709-4375",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7 ROBIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SCHENECTADY",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "12306-4826",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "518-730-2676",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/30/2008",
    "LastUpdateDate": "01/10/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163WH0200X",
          "TaxonomyName": "Home Health Registered Nurse",
          "LicenseNumber": "560531-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "560531-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "374U00000X",
          "TaxonomyName": "Home Health Aide",
          "LicenseNumber": "560531-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP1600X",
          "TaxonomyName": "Pastoral Counselor",
          "LicenseNumber": "560531-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101200000X",
          "TaxonomyName": "Drama Therapist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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