Rasaq Adeniyi Kotun, TRANSPORTATION PROVI

Primary specialty

DriverTaxonomy code 172A00000X

License

14373015 Issued in TX

Practice address

2611 Cypress Creek Pkwy
F-102
Houston, TX 77068-3731

Phone

(713) 875-9776

Fax

(281) 973-0970

NPI assigned

Nov 27, 2015

Sex

Male

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

Practice roles

Locations

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

• Cypress Creek Medical Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Houston, TX
  • NPI 1295109437
  NPD Authorized official

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

{
    "created_epoch": "1448582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448582400000",
    "number": "1487028619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 CYPRESS CREEK PKWY",
            "address_2": "F-102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770683731",
            "telephone_number": "713-875-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 CYPRESS CREEK PKWY",
            "address_2": "F-102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770683731",
            "telephone_number": "713-875-9776",
            "fax_number": "281-973-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTUN",
        "first_name": "RASAQ",
        "middle_name": "ADENIYI",
        "credential": "TRANSPORTATION PROVI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-27",
        "last_updated": "2015-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "14373015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marylee M Kott, M.D.
• Prasanti Alekhya Kotta, MB BCHIR
• Jyotsna Kottoor, APRN
• Riya T. Kottoor, NP-C
• Kotun Kehinde a & Aborisade Taiwo M
• Keleigh Nicole Kotzur, NCSP
• Stephanie Kotzur, ACNP
• Ghislaine Emmanuelle Kouamou Diguie, PHARM.D.
• Elodie Kouamou Kouangoua
• Michelle Koudsi, LMSW

• Driver in Houston, TX
• Providers in Houston, TX by specialty
• Driver in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2015; 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.