Individual provider Active NPI

Jarcolla Osagie

  • Medical-Surgical Registered Nurse
  • Houston, TX
National Provider Identifier
1760090237
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
928503 Issued in TX
Practice address
8329 Ariel St
Houston, TX 77074-2802
Phone
(281) 865-3784
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WM0705X 928503 TX Primary

Addresses

Primary practice location

8329 Ariel St
Houston, TX 77074-2802

Mailing address

8329 Ariel St
Houston, TX 77074-2802
Phone (281) 865-3784

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
928503TXMDMedical-Surgical Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1760090237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8329 ARIEL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742802",
            "telephone_number": "281-865-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8329 ARIEL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742802",
            "telephone_number": "281-865-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSAGIE",
        "first_name": "JARCOLLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TX",
            "license": "928503",
            "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 Jul 21, 2020; 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.