Active NPI
Atinuke Agoro
- Registered Nurse
- Katy, TX
National Provider Identifier
1427650944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95220453
- Practice address
- 24758 Grand Harbor Dr
Katy, TX 77494-0869 - Phone
- (925) 300-5027
- NPI assigned
- Nov 10, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95220453 | CA | Primary |
Addresses
Primary practice location
24758 Grand Harbor Dr
Katy, TX 77494-0869
Mailing address
1155 Dairy Ashford Rd
Houston, TX 77079-3021
Phone (713) 799-2200
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 |
|---|---|---|---|
| 95220453 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1427650944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 DAIRY ASHFORD RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770793021",
"telephone_number": "713-799-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24758 GRAND HARBOR DR",
"city": "KATY",
"state": "TX",
"postal_code": "774940869",
"telephone_number": "925-300-5027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGORO",
"first_name": "ATINUKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95220453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.