Look up the most recent NPI and PECOS records

Ajibola Fat-Anthony

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Ajibola Fat-Anthony is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1437670841
Provider Type
Individual
Full Name
Fat-Anthony, Ajibola
Credential
NP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/6/2017
Last Updated
12/9/2024

Contact Information

Practice Location

2808 Quail Ave, Mcallen, TX 78504-4276

(956) 802-4662

Mailing Location

2808 Quail Ave, Mcallen, TX 78504-4276

(956) 802-4662

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LP0808X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License AP134373 Texas

Ajibola Fat-Anthony

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Elizondo, Lucinda

Mendoza-Zavala, Hermes

Bujanos, Maritza Isela

Passion&Purpose Collaborative Mental Health Services

Serenity Valley Behavioral Wellness, Pllc

Thrive 360 Total Care Pllc

Abregunda-Gonzalez Mending Minds Psychiatry Pllc

Ndlovu, Chipo

Mego, Samara