Euginia Agbatekwe, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP134239 Issued in TX

Practice address

2700 Tibbets Dr Ste 406
Bedford, TX 76022-6900

Phone

(817) 576-6665

NPI assigned

Jul 11, 2017

Last updated

Jan 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, SC, MI, MA, CA5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 5

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: euginia.eke@746395612545028.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Health Plan of California, Inc.

  • Health Maintenance Organization
  • Diamond Bar, CA
  • NPI 1386714772
  Medicare reassignment NPD
• Molina Care Connections, LLC.

  dba Molina CC

  • Nurse Practitioner
  • Long Beach, CA
  • NPI 1407243223

  MA, MI, SC, TX

  Medicare reassignment NPD
• Molina Healthcare of California

  dba Molina Medical Centers

  • Health Maintenance Organization
  • Long Beach, CA
  • NPI 1194811760
  Medicare reassignment NPD
• Universal Care

  • Pediatrics Physician
  • Long Beach, CA
  • NPI 1376632877
  NPD
• Goto Lab Express Texas LLC

  • Clinical Medical Laboratory
  • Irving, TX
  • NPI 1558869438
  NPD (past)

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1376065490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 TIBBETS DR STE 406",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226900",
            "telephone_number": "817-576-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 TIBBETS DR STE 406",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226900",
            "telephone_number": "817-576-6665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 W Walnut Hill Ln Ste 155F",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750383032",
            "country_code": "US",
            "telephone_number": "214-606-2448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2459 E Hebron Pkwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750104477",
            "country_code": "US",
            "telephone_number": "972-798-8001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 W Walnut Hill Ln Ste 155F",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750383032",
            "country_code": "US",
            "telephone_number": "214-606-2448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 S Nedderman Dr Box 19407",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "76019",
            "country_code": "US",
            "telephone_number": "512-784-6207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGBATEKWE",
        "first_name": "EUGINIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134239",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "AP134239",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "AP134239",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Adams, DC
• Olamide Adeyemi, C.E.O
• Lonnie G. Adian, CRNA
• Advanced Medical Enterprises LP
• Agateno Technologies, LLC
• Ageless Women's Health TX LLC
• Ah Lone Star DME Supply LLC
• Ayesha Ahmad, MD
• Awad Ahmed
• Albertsons LLC (Albertsons Pharmacy #1262)

• Family Nurse Practitioner in Bedford, TX
• Providers in Bedford, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.