Active NPI
Sylverline Anurika Agomoh
- Occupational Therapist
- Grand Junction, CO
National Provider Identifier
1629234174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 2115 Grand Ave
Grand Junction, CO 81501-8007 - Phone
- (970) 254-4872
- NPI assigned
- Aug 4, 2008
- Last updated
- Mar 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
2115 Grand Ave
Grand Junction, CO 81501-8007
Mailing address
25031 E 2ND PL
Aurora, CO 80018-4568
Phone (720) 318-1993
Other practice location 1
25031 E 2nd Pl
Aurora, CO 80018-4568
Phone (720) 318-1993
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mesa County Valley School District #51 | Current | Accepting new patients | |
| Rodrigo D. Rodriguez | Past | Accepting new patients |
Locations
2115 Grand Ave
Grand Junction, CO 81501
Phone (970) 254-4872
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Grand Junction, CO
- NPI 1851475628
-
dba In Home Therapy Services of America
- Multi-Specialty Clinic/Center
- Aurora, CO
- NPI 1740648187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1629234174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25031 E 2ND PL",
"city": "AURORA",
"state": "CO",
"postal_code": "800184568",
"telephone_number": "720-318-1993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 GRAND AVE",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815018007",
"telephone_number": "970-254-4872"
}
],
"practiceLocations": [
{
"address_1": "25031 E 2nd Pl",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800184568",
"country_code": "US",
"telephone_number": "720-318-1993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AGOMOH",
"first_name": "SYLVERLINE",
"middle_name": "ANURIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-04",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.