THERESA BAMIDELE FNP-C
NPI 1215475512
Nurse Practitioner - Family in Gainesville, GA

Active since February 07, 2017
1290 ATHENS ST, GAINESVILLE, GA 30507(678) 717-4909 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2024, Feb 7, 2017 (2 updates tracked since 2017).

About Theresa Bamidele Fnp-c NPPES

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

THERESA BAMIDELE FNP-C (NPI 1215475512) is an individual family provider in Gainesville, Georgia, licensed in Georgia (RN218567) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1215475512
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA BAMIDELECredential: FNP-C
Location Address1290 ATHENS STGainesville, GA 30507-7000
Mailing Address428 Canton RdCumming, GA 30040-2002 · (770) 781-6900
Sole ProprietorNo
Enumeration DateFebruary 7, 2017
Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
NPI 1215475512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN218567
Also ListedRegistered NurseTaxonomy 163W00000X · License RN218567 (GA)
1290 ATHENS ST, Gainesville, GA 30507

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Women's Health)
1290 ATHENS ST
GAINESVILLE, GA 30507
Clinic/Center (Public Health, State or Local)
1290 ATHENS ST
GAINESVILLE, GA 30507
Registered Nurse
1290 ATHENS ST
GAINESVILLE, GA 30507
Case Manager/Care Coordinator
1290 ATHENS ST
GAINESVILLE, GA 30507
Clinic/Center (Public Health, State or Local)
1290 ATHENS ST
GAINESVILLE, GA 30507
Community Health Worker
1290 ATHENS ST
GAINESVILLE, GA 30507
Nurse Practitioner (Women's Health)
1290 ATHENS ST
GAINESVILLE, GA 30507
Licensed Practical Nurse
1290 ATHENS ST
GAINESVILLE, GA 30507

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 Theresa Bamidele's NPI number?

The NPI number for Theresa Bamidele is 1215475512. It was assigned to this individual provider in the NPPES registry on February 7, 2017.

Where is Theresa Bamidele located?

Theresa Bamidele practices at 1290 Athens St, Gainesville, GA 30507. The listed phone number is (678) 717-4909.

What is Theresa Bamidele's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Theresa Bamidele was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.