Individual provider Active NPI

Clemente Escarillo Logronio Jr., H-MBA, BSN, RN-BC

  • Administrator Registered Nurse
  • Missouri City, TX
National Provider Identifier
1760908305
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
720894 Issued in TX
Practice address
4010 N Barnett Way
Missouri City, TX 77459
Phone
(936) 933-4789
NPI assigned
Aug 15, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 720894 TX Primary

Addresses

Primary practice location

4010 N Barnett Way
Missouri City, TX 77459

Mailing address

4010 N Barnett Way
Missouri City, TX 77459-6335
Phone (936) 933-4789

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
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
720894TXMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Zeste Home Healthcare LLC CurrentSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1760908305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 N BARNETT WAY",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774596335",
            "telephone_number": "936-933-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 N BARNETT WAY",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "77459",
            "telephone_number": "936-933-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGRONIO",
        "first_name": "CLEMENTE",
        "middle_name": "ESCARILLO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "H-MBA, BSN, RN-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "720894",
            "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 Jul 21, 2022; 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.