Individual provider Active NPI

Joan Adomaa Asafo-Agyei, NP-C

  • Family Nurse Practitioner
  • Garland, TX
National Provider Identifier
1104301647
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09180479 Issued in TX
Practice address
429 E Interstate 30 Ste 114
Garland, TX 75043-4097
Phone
(214) 529-9041
NPI assigned
Oct 1, 2018
Last updated
Apr 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F09180479 TX Primary

Addresses

Primary practice location

429 E Interstate 30 Ste 114
Garland, TX 75043-4097

Mailing address

339 Redstone Dr
Sunnyvale, TX 75182-3240
Phone (214) 529-9041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200421000861 TX Practitioner - Nurse Practitioner 6901976141 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edropa Family Medicine ClinicGroup PAC ID 7810327509, 2 clinicians

Practice addresses (Care Compare)

429 E I-30 Frwy
Suite 114
Garland, TX 75043-4097
Phone (972) 795-3292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F09180479TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edropa Family Medicine Clinic Family CurrentSince Dec 24, 2019 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

429 E Interstate 30
Ste 114
Garland, TX 75043
Phone (214) 529-9041

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEDCDD/Endpoint/HEDCDD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714176000000",
    "number": "1104301647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 REDSTONE DR",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751823240",
            "telephone_number": "214-529-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 E INTERSTATE 30 STE 114",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750434097",
            "telephone_number": "214-529-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASAFO-AGYEI",
        "first_name": "JOAN",
        "middle_name": "ADOMAA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F09180479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.