Agape Life Multicultural Services

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

AGAPE LIFE MULTICULTURAL SERVICES

Practice address

2100 Virginia St Ste F
Grand Prairie, TX 75051-3796

Phone

(214) 862-5756

Fax

(469) 332-3118

NPI assigned

Oct 31, 2024

Organization subpart

No

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

Authorized official

Name

Karan Staggers, NURSE PRACTITIONERNPI 1457949695

Title

Ceo

Phone

(214) 862-5756

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, AR, LA, AZ, TN5 enrollments

Enrollment records 5

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karan Staggers, APRN, FNP-C

  • Family Nurse Practitioner
  • Grand Prairie, TX
  • NPI 1457949695

  AR, AZ, LA, TN

  Medicare reassignment Care Compare group NPD Authorized official
• Sharan Lynn Allen, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Arlington, TX
  • NPI 1003430026

  AR, AZ, LA, TN

  Medicare reassignment Care Compare group NPD
• Latrisala Bankston, NP

  • Family Nurse Practitioner
  • Tomball, TX
  • NPI 1972097491

  LA

  Medicare reassignment NPD

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1609698455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 FAIR OAKS DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522718",
            "telephone_number": "214-862-5756",
            "fax_number": "469-332-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 VIRGINIA ST STE F",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750513796",
            "telephone_number": "214-862-5756",
            "fax_number": "469-332-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE LIFE MULTICULTURAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "STAGGERS",
        "authorized_official_first_name": "KARAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-862-5756",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.