Individual ProviderAdeola AdebiyiNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address926 Main St, Nashville, TN 37206-3614(615) 436-9060(281) 909-7000PECOS EnrollmentBased on the most recent information from CMS, provider Adeola Adebiyi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1558971879Provider TypeIndividualFull NameAdebiyi, AdeolaGenderFemaleSole ProprietorYesEnumeration Date8/1/2020Last Updated3/21/2024Contact InformationPractice LocationPractice Address926 Main St, Nashville, TN 37206-3614Phone(615) 436-9060Fax(615) 235-9725Mailing LocationMailing Address3100 Weslayan St Ste 380, Houston, TX 77027-5736Phone(281) 909-7000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense1018454TexasCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense831703Texas