NPIMap

Organization Active NPI

Fyatt Healthcare

  • Health Service Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1093050940
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
798898 Issued in TX
Legal business name
FYATT HEALTHCARE
Practice address
1608 Windsong TRL
615
Fort Worth, TX 76120-4223
Phone
(267) 872-9756
NPI assigned
Dec 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

Name
Mrs. Oluwayemisi Agboola, FNPNPI 1114210648
Title
Owner
Phone
(267) 872-9756

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 798898 TX Primary

Addresses

Primary practice location

1608 Windsong TRL
615
Fort Worth, TX 76120-4223

Mailing address

1608 Windsong TRL
615
Fort Worth, TX 76120-4223
Phone (267) 872-9756

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1093050940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 WINDSONG TRL",
            "address_2": "615",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761204223",
            "telephone_number": "267-872-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 WINDSONG TRL",
            "address_2": "615",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761204223",
            "telephone_number": "267-872-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FYATT HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "AGBOOLA",
        "authorized_official_first_name": "OLUWAYEMISI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-872-9756",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "798898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.