Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KOLADE BAMIDELE AJAYI, FNP-BC
ActivePsychiatric/Mental Health Nurse Practitioner · SAN ANTONIO, TX
Registration Details
- NPI Number
- 1427521186
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 5, 2019 (7.2939021394321 yrs)
- Last Updated
- Dec 31, 2025
- Licenses
-
AP139704 (TX)AP139704 (TX)
Practice Information
- Address
-
6609 BLANCO RD STE 145SAN ANTONIO, TX, 782166179Browse TX providers · Browse ZIP 78216
- Phone
- 2109402764
- Fax
- 8302399930
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in SAN ANTONIO, TX
| Name | Credential | NPI |
|---|---|---|
| MS. CYNTHIA LOU SHORTLE | NP | 1063481992 |
| DR. SUSAN J VAN FOSSEN | RN, MSN, BC, PMHNP | 1558309328 |
| SUSANA PATRICIA JUAREZ-LEAL | CPNA PHD | 1245270545 |
| MADY CAROL STOVALL | PMHNP | 1699787697 |
| REBECCA CARREON | DNP, FNP, PMHNP-C | 1811004898 |
| DR. DIANNE S LAVIN | PSY.D., RN, PMHNP-BC | 1154430015 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.