Agnesrebekah M Mutuku Greer

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

318093 Issued in TX

Practice address

15750 Spectrum Dr Apt 2417
Addison, TX 75001-6366

Phone

(972) 750-0757

NPI assigned

Sep 18, 2018

Sex

Female

Sole proprietor

No

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": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1285118190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15750 SPECTRUM DR APT 2417",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016366",
            "telephone_number": "972-750-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15750 SPECTRUM DR APT 2417",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016366",
            "telephone_number": "972-750-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTUKU GREER",
        "first_name": "AGNESREBEKAH",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "318093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clint Michael Mumpower, PHARMD
• Christine Amanda Muns, D.D.S.
• Jordan Lee Murphree, OTR
• Patricia Murray, L.P.C.
• Mustang Neurodiagnostics, PLLC
• Britany D Myers, LCSW
• Kimberly M Myers, FNP
• National Neuromonitoring Services, LLC
• Nationshealth Specialty RX LLC
• Jacob Matthew Navarrette

• Licensed Vocational Nurse in Addison, TX
• Providers in Addison, TX by specialty
• Licensed Vocational Nurse in Texas

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

Verify at the official NPI Registry.