Individual provider Active NPI

Sylverline Anurika Agomoh

  • Occupational Therapist
  • Grand Junction, CO
National Provider Identifier
1629234174
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
2115 Grand Ave
Grand Junction, CO 81501-8007
Phone
(970) 254-4872
NPI assigned
Aug 4, 2008
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Mesa County Valley School District #51 CurrentSince Mar 12, 2024 Accepting new patients
Rodrigo D. Rodriguez PastSince Apr 20, 2020 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.

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.

Verify at the official NPI Registry.