Christopher Agatep, NP-C
Individual provider Active NPI Family Nurse Practitioner · Pasadena, TX
NPI 1497347173 · NPPES record last updated Mar 9, 2021
Key facts
- NPI
- 1497347173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1022817 (TX)
- Practice address
- 1946 Pasadena Blvd
Pasadena, TX 77502-2742 - Phone
- (866) 835-3631
- NPI assigned
- Feb 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Doctors Express of the Beaumont Area PA
Practice addresses (Care Compare)
9740 Barker Cypress Rd
Suite 108
Cypress, TX 77433-1974
Phone (281) 990-6890
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240207000672 | TX | Practitioner - Nurse Practitioner | 8921441940 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1022817 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Express of the Beaumont Area PA | Current |
Accepting new patients | |
| Doctors Express of the Temple Area, PA | Past | Accepting new patients |
Locations
596 E Stacy Rd
Allen, TX 75002
Phone (469) 898-0199
6600 S Mopac Expy
Ste 2180
Austin, TX 78749
Phone (512) 522-3010
8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354
3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888
9740 Barker Cypress Rd
Ste 108
Cypress, TX 77433
Phone (281) 463-5200
6340 N Eldridge Pkwy
Ste O
Houston, TX 77041
Phone (346) 385-9181
6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890
8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980
1921 W League City Pkwy
Ste 130
League City, TX 77573
Phone (281) 937-2590
4724 Lakeview Pkwy
Ste 300
Rowlett, TX 75088
Phone (469) 947-6240
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1022817 | TX | Yes |
Addresses
Primary practice location
1946 Pasadena Blvd
Pasadena, TX 77502-2742
Mailing address
17311 Kilmahew PL
Richmond, TX 77407-1754
Phone (281) 796-1657
Other practice location 1
17311 Kilmahew Pl
Richmond, TX 77407-1754
Phone (281) 796-1657
NPI Registry JSON
{
"created_epoch": "1612396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1497347173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17311 KILMAHEW PL",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774071754",
"telephone_number": "281-796-1657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1946 PASADENA BLVD",
"city": "PASADENA",
"state": "TX",
"postal_code": "775022742",
"telephone_number": "866-835-3631"
}
],
"practiceLocations": [
{
"address_1": "17311 Kilmahew Pl",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "TX",
"postal_code": "774071754",
"country_code": "US",
"telephone_number": "281-796-1657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGATEP",
"first_name": "CHRISTOPHER",
"credential": "NP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-04",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1022817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.