Individual provider Active NPI

Velvete Dyreen Rojugbokan, RN

  • Registered Nurse
  • League City, TX
National Provider Identifier
1083299606
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
510505 Issued in TX
Practice address
3027 Marina Bay Dr
League City, TX 77573-2729
Phone
(281) 968-2745
NPI assigned
Mar 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 510505 TX Primary

Addresses

Primary practice location

3027 Marina Bay Dr
League City, TX 77573-2729

Mailing address

2326 N Battlebell Rd
Highlands, TX 77562-4076
Phone (281) 221-7170

Other identifiers 1

IdentifierTypeStateIssuer
510505OtherTXNURSING LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address velvete.rojugbokan@stc.com Direct THRIVE PEDIATRIC NURSING INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
510505TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1083299606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 N BATTLEBELL RD",
            "city": "HIGHLANDS",
            "state": "TX",
            "postal_code": "775624076",
            "telephone_number": "281-221-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 MARINA BAY DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732729",
            "telephone_number": "281-968-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJUGBOKAN",
        "first_name": "VELVETE",
        "middle_name": "DYREEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "510505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "510505",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "velvete.rojugbokan@stc.com",
            "affiliation": "Y",
            "endpointDescription": "velvete.rojugbokan@stc.com",
            "affiliationName": "THRIVE PEDIATRIC NURSING INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3027 Marina Bay Dr",
            "city": "League City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775732729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.