Individual provider Active NPI

Chisorom Okukpe

  • Licensed Vocational Nurse
  • Missouri City, TX
National Provider Identifier
1720645765
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
198532 Issued in TX
Practice address
2118 Silver Leaf Dr
Missouri City, TX 77489-5027
Phone
(832) 419-8731
NPI assigned
May 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 198532 TX Primary

Addresses

Primary practice location

2118 Silver Leaf Dr
Missouri City, TX 77489-5027

Mailing address

2118 Silver Leaf Dr
Missouri City, TX 77489-5027
Phone (832) 419-8731

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
198532TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1720645765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 SILVER LEAF DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774895027",
            "telephone_number": "832-419-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 SILVER LEAF DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774895027",
            "telephone_number": "832-419-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUKPE",
        "first_name": "CHISOROM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "198532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.