Organization Active NPI

Kiango Group, LLC

  • Nurse Practitioner
  • Spring, TX
National Provider Identifier
1225883945
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
KIANGO GROUP, LLC
Practice address
2129 FM 2920 Rd Ste 171
Spring, TX 77388-3671
Phone
(612) 390-0241
NPI assigned
Apr 18, 2024
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Boniface AnyieniNPI 1336994052
Title
Manager
Phone
(612) 390-0241

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
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

2129 FM 2920 Rd Ste 171
Spring, TX 77388-3671

Mailing address

2129 FM 2920 Rd Ste 171
Spring, TX 77388-3671
Phone (612) 390-0241

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1225883945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 FM 2920 RD STE 171",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883671",
            "telephone_number": "612-390-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2129 FM 2920 RD STE 171",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883671",
            "telephone_number": "612-390-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIANGO GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "ANYIENI",
        "authorized_official_first_name": "BONIFACE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-390-0241"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.