Ofioritse Agbontaen

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

654105 Issued in TX

Practice address

401 Misty LN
Lewisville, TX 75067-6253

Phone

(214) 682-4041

NPI assigned

Dec 28, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Jakpa Healthcare Inc

  • Home Health Agency
  • Lewisville, TX
  • NPI 1477620615
  NPD Authorized official

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1144792391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MISTY LN",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750676253",
            "telephone_number": "214-682-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MISTY LN",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750676253",
            "telephone_number": "214-682-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGBONTAEN",
        "first_name": "OFIORITSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "654105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Affinity Community Services Inc
• Affordable Dentures & Implants - Texas, PLLC
• Eno Afia, CAREGIVER
• Olubukola Afolabi
• Shilpa Agadi, DDS
• Imuetinyanosa Agbor
• Ajay Agrawal
• Megha Agrawal, MD
• Hendricks Agwu
• Safa Ahmad

• Registered Nurse in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.