MISS OMOTUNDE ADEMOLA
NPI 1073003976
Licensed Practical Nurse in Philadelphia, PA

Active since May 16, 2018
5500 TABOR AVE, PHILADELPHIA, PA 19120(215) 245-2131 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Omotunde Ademola NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS OMOTUNDE ADEMOLA (NPI 1073003976) is an individual licensed practical nurse in Philadelphia, Pennsylvania, licensed in Pennsylvania (PN295126) and active in the NPI registry since May 2018. She maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1073003976
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMISS OMOTUNDE ADEMOLA
Location Address5500 TABOR AVEPhiladelphia, PA 19120-2124
Mailing Address3000 Ford Rd Apt K23Bristol, PA 19007-1464 · (856) 220-8488
Sole ProprietorYes
Enumeration DateMay 16, 2018
NPI 1073003976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in PA · PN295126
Definition
A licensed practical nurse 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.
5500 TABOR AVE, Philadelphia, PA 19120

Secondary Practice Location 1

Location 15500 Tabor AvePhiladelphia, PA 19120-2124 · Phone (215) 245-2131

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
5500 TABOR AVE
PHILADELPHIA, PA 19120
Licensed Practical Nurse
5500 TABOR AVE
PHILADELPHIA, PA 19120
Licensed Practical Nurse
5500 TABOR AVE
PHILADELPHIA, PA 19120
Licensed Practical Nurse
5500 TABOR AVE
PHILADELPHIA, PA 19120
Licensed Practical Nurse
5500 TABOR AVE
PHILADELPHIA, PA 19120
Registered Nurse
5500 TABOR AVE
PHILADELPHIA, PA 19120
Home Health
5500 TABOR AVE
PHILADELPHIA, PA 19120
Registered Nurse
5500 TABOR AVE
PHILADELPHIA, PA 19120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omotunde Ademola's NPI number?

The NPI number for Omotunde Ademola is 1073003976. It was assigned to this individual provider in the NPPES registry on May 16, 2018.

Where is Omotunde Ademola located?

Omotunde Ademola practices at 5500 Tabor Ave, Philadelphia, PA 19120. The listed phone number is (215) 245-2131.

What is Omotunde Ademola's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Omotunde Ademola was last updated on May 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.