Organization Active NPI

Kehinde Kulugh NP LLC

  • Clinic/Center
  • Grand Prairie, TX
National Provider Identifier
1770239907
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KEHINDE KULUGH NP LLC
Doing business as
Kehinde Kulugh NP LLC
Practice address
7023 Morning Star Dr
Grand Prairie, TX 75054-7241
Phone
(718) 207-0266
NPI assigned
Feb 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Kehinde Kulugh, NPNPI 1174060784
Title
Nurse Practitioner
Phone
(718) 207-0266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

7023 Morning Star Dr
Grand Prairie, TX 75054-7241

Mailing address

7023 Morning Star Dr
Grand Prairie, TX 75054-7241
Phone (718) 207-0266

Other names 1

  • KEHINDE KULUGH NP LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1770239907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7023 MORNING STAR DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750547241",
            "telephone_number": "718-207-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7023 MORNING STAR DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750547241",
            "telephone_number": "718-207-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEHINDE KULUGH NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "KULUGH",
        "authorized_official_first_name": "KEHINDE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "718-207-0266",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KEHINDE KULUGH NP LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KEHINDE KULUGH NP LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.