Kingsbrook Healthcare Services PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

KINGSBROOK HEALTHCARE SERVICES PLLC

Doing business as

BloodWorkNow

Practice address

1230 River Bend Dr Ste 107
Dallas, TX 75247-4916

Phone

(214) 272-9008

Fax

(682) 228-6994

NPI assigned

Aug 3, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Temitayo I Sodimu, NURSE PRACTITIONER

Title

President

Phone

(214) 272-9008

Specialties & licenses 1

Addresses

Other names 1

• BloodWorkNow Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Temitayo Osunde-Sodimu, NP

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1598912347
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1023249505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MARK IV PKWY UNIT 162254",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761615252",
            "telephone_number": "214-272-9008",
            "fax_number": "682-228-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 RIVER BEND DR STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474916",
            "telephone_number": "214-272-9008",
            "fax_number": "682-228-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSBROOK HEALTHCARE SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "SODIMU",
        "authorized_official_first_name": "TEMITAYO",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-272-9008",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BloodWorkNow",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Logan Kingry
• Kings & Queens Transportation LLC
• Kings Health Care LLC.
• Kings Helping Hand Inc
• Kings Helping Hand Inc
• Rachel Ann Kingsely, PHARMD
• Kingsley Clinic PLLC (The Kingsley Clinic PLLC)
• Kingsley Optical Inc
• Joanna Kingsley Tavarez, MD
• Kingsman Consulting LLC

• Health Service Clinic/Center in Dallas, TX
• Providers in Dallas, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.