Individual provider Active NPI

Christine Joy Bangilan Deocos, RN

  • Registered Nurse
  • Manvel, TX
National Provider Identifier
1497233175
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
941680 Issued in TX
Practice address
18 Palm Desert Dr
Manvel, TX 77578-3295
Phone
(832) 567-6357
NPI assigned
Aug 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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 941680 TX Primary

Addresses

Primary practice location

18 Palm Desert Dr
Manvel, TX 77578-3295

Mailing address

18 Palm Desert Dr
Manvel, TX 77578-3295
Phone (832) 567-6357

Other names 1

  • Christine Joy Ciudad Bangilan Former name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
941680TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1497233175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PALM DESERT DR",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775783295",
            "telephone_number": "832-567-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 PALM DESERT DR",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775783295",
            "telephone_number": "832-567-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEOCOS",
        "first_name": "CHRISTINE JOY",
        "middle_name": "BANGILAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "941680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE JOY",
            "last_name": "BANGILAN",
            "middle_name": "CIUDAD",
            "credential": "BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manvel, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.