Active NPI
Eseoghene Agbahor, RN
- Registered Nurse
- Plano, TX
National Provider Identifier
1285045872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 812149
- Practice address
- 4237 Sun Creek CT
Plano, TX 75093-6936 - Phone
- (972) 322-8411
- NPI assigned
- May 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 812149 | TX | Primary |
| Adult Companion | 372600000X | |||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X |
Addresses
Primary practice location
4237 Sun Creek CT
Plano, TX 75093-6936
Mailing address
4237 Sun Creek CT
Plano, TX 75093-6936
Phone (972) 322-8411
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 812149 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1285045872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4237 SUN CREEK CT",
"city": "PLANO",
"state": "TX",
"postal_code": "750936936",
"telephone_number": "972-322-8411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4237 SUN CREEK CT",
"city": "PLANO",
"state": "TX",
"postal_code": "750936936",
"telephone_number": "972-322-8411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGBAHOR",
"first_name": "ESEOGHENE",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-16",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "812149",
"primary": true
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.