Kierra Ouedraogo

Primary specialty

SNF/Subacute Care Registered Respiratory TherapistTaxonomy code 2279S1500X

License

RCP02003194 Issued in TX

Practice address

2700 Walker Way
Desoto, TX 75115-2088

Phone

(469) 801-4500

NPI assigned

Jul 29, 2024

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

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1154150324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 MAGNA CARTA BLVD",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528392",
            "telephone_number": "810-394-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WALKER WAY",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152088",
            "telephone_number": "469-801-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUEDRAOGO",
        "first_name": "KIERRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279S1500X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, SNF/Subacute Care",
            "state": "TX",
            "license": "RCP02003194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ugochi Osifoh, PT
• Osuji Family, LP
• Ikechukwu A. Osuji, MD
• Tochi A Osuji
• Joshua Otway
• John Owens
• Laura Ashley Padgett, DC
• Christine Page, MD
• Carlos E Pancorvo, M.D.
• Mable Pankaj, AGNP & WHNP

• Registered Respiratory Therapist in Desoto, TX
• Providers in Desoto, TX by specialty
• Registered Respiratory Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.