Individual provider Active NPI

Elodie Kouamou Kouangoua

  • Registered Nurse
  • Houston, TX
National Provider Identifier
1447719802
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
942722 Issued in TX
Practice address
7909 S Sam Houston Pkwy E Apt 626
Houston, TX 77075-4793
Phone
(281) 777-7850
NPI assigned
Mar 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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 942722 TX Primary

Addresses

Primary practice location

7909 S Sam Houston Pkwy E Apt 626
Houston, TX 77075-4793

Mailing address

7909 S Sam Houston Pkwy E Apt 626
Houston, TX 77075-4793
Phone (281) 777-7850

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

LicenseStateTypeSpecialty
942722TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1447719802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7909 S SAM HOUSTON PKWY E APT 626",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770754793",
            "telephone_number": "281-777-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7909 S SAM HOUSTON PKWY E APT 626",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770754793",
            "telephone_number": "281-777-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUAMOU KOUANGOUA",
        "first_name": "ELODIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "942722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.