Individual provider Active NPI

Rongchai Sodchun Nilmag, RN, BSN, VA-BC

  • Registered Nurse
  • Richardson, TX
National Provider Identifier
1427749779
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1655188 Issued in CO
Practice address
2600 N Central Expy Ste 280
Richardson, TX 75080-2057
Phone
(866) 747-7422
NPI assigned
May 17, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1655188 CO Primary

Addresses

Primary practice location

2600 N Central Expy Ste 280
Richardson, TX 75080-2057

Mailing address

6031 N Orleans St
Aurora, CO 80019-2221
Phone (832) 766-7726

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1655188COMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1427749779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 N ORLEANS ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800192221",
            "telephone_number": "832-766-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N CENTRAL EXPY STE 280",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802057",
            "telephone_number": "866-747-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILMAG",
        "first_name": "RONGCHAI",
        "middle_name": "SODCHUN",
        "name_prefix": "Mr.",
        "credential": "RN, BSN, VA-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1655188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.