Active NPI
Abubakarr Kallon
- Licensed Practical Nurse
- Missouri City, TX
National Provider Identifier
1184107633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 226717
- Practice address
- 6643 McCullum Rd
Missouri City, TX 77489-3505 - Phone
- (832) 366-6730
- NPI assigned
- Sep 11, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 226717 | TX | Primary |
Addresses
Primary practice location
6643 McCullum Rd
Missouri City, TX 77489-3505
Mailing address
6643 McCullum Rd
Missouri City, TX 77489-3505
Phone (832) 366-6730
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226717 | TX | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536624000000",
"number": "1184107633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6643 MCCULLUM RD",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774893505",
"telephone_number": "832-366-6730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6643 MCCULLUM RD",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774893505",
"telephone_number": "832-366-6730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALLON",
"first_name": "ABUBAKARR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-11",
"last_updated": "2018-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "TX",
"license": "226717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.