Individual provider Active NPI

Blessing Chioma Anyaegbu Jr., LVN

  • Licensed Vocational Nurse
  • Garland, TX
National Provider Identifier
1821589979
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
308052 Issued in TX
Practice address
1650 N Jupiter Rd Apt 2066
Garland, TX 75042-8649
Phone
(469) 662-1144
NPI assigned
May 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 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 308052 TX Primary

Addresses

Primary practice location

1650 N Jupiter Rd Apt 2066
Garland, TX 75042-8649

Mailing address

1650 N Jupiter Rd Apt 2066
Garland, TX 75042-8649
Phone (469) 662-1144

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
308052TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1821589979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 N JUPITER RD APT 2066",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750428649",
            "telephone_number": "469-662-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 N JUPITER RD APT 2066",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750428649",
            "telephone_number": "469-662-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYAEGBU",
        "first_name": "BLESSING",
        "middle_name": "CHIOMA",
        "name_suffix": "Jr.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "308052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

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