Individual provider Active NPI

Theresa Sia Shokunbi

  • Licensed Vocational Nurse
  • Houston, TX
National Provider Identifier
1740770205
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
166842 Issued in TX
Practice address
1919 S Kirkwood Rd Apt 22
Houston, TX 77077-6224
Phone
(832) 496-4832
NPI assigned
May 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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 166842 TX Primary

Addresses

Primary practice location

1919 S Kirkwood Rd Apt 22
Houston, TX 77077-6224

Mailing address

1919 S Kirkwood Rd Apt 22
Houston, TX 77077-6224
Phone (832) 496-4832

Other practice location 1

1919 S Kirkwood Rd Apt 22
Houston, TX 77077-6224
Phone (832) 496-4832

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
166842TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1740770205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S KIRKWOOD RD APT 22",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776224",
            "telephone_number": "832-496-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S KIRKWOOD RD APT 22",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776224",
            "telephone_number": "832-496-4832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 S Kirkwood Rd Apt 22",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770776224",
            "country_code": "US",
            "telephone_number": "832-496-4832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOKUNBI",
        "first_name": "THERESA",
        "middle_name": "SIA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "166842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.