Actfast Healthcare LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

ACTFAST HEALTHCARE LLC

Practice address

2000 E Arapaho Rd Apt 22303
Richardson, TX 75081-7709

Phone

(945) 249-0615

NPI assigned

Aug 15, 2022

Last updated

Aug 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Blessing Okon Okpo, NPNPI 1205500402

Title

Family Nurse Practitioner

Phone

(972) 891-1700

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Blessing Okon Okpo

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1205500402
  NPD Authorized official

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1689302861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E ARAPAHO RD APT 22303",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750817709",
            "telephone_number": "972-891-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E ARAPAHO RD APT 22303",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750817709",
            "telephone_number": "945-249-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTFAST HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "OKPO",
        "authorized_official_first_name": "BLESSING",
        "authorized_official_middle_name": "OKON",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "972-891-1700",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Richardson, TX
• Providers in Richardson, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.