IndividualActive
Adewale Omoniyi, NURSE
NPI 1427406651 · Licensed Vocational Nurse · Providence, RI
Provider details
- NPI number
- 1427406651
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Credential
- NURSE
- Sex
- Male
- Sole proprietor
- Yes
- License
- LN91103 (MA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11 S Angell St # 383
Providence, RI 02906-5206
Phone: (401) 516-1804
Fax: (866) 799-5622
Street-level locationGet directions
Mailing address
11 S Angell St # 383
Providence, RI 02906-5206
Registry dates
- Enumerated
- 2016-05-27
- Last updated
- 2016-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.