Individual provider Active NPI

Lolin Nyokabi, NURSE

  • Licensed Vocational Nurse
  • Grand Prairie, TX
National Provider Identifier
1902367055
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
302287 Issued in TX
Practice address
2903 Alyson Way
Grand Prairie, TX 75052-0429
Phone
(817) 933-9185
NPI assigned
Mar 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 302287 TX Primary

Addresses

Primary practice location

2903 Alyson Way
Grand Prairie, TX 75052-0429

Mailing address

2903 Alyson Way
Grand Prairie, TX 75052-0429
Phone (817) 933-9185

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lolinn07@gmail.com Direct

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
302287TXMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
A Brightstart Services Inc CurrentSince Jan 1, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1902367055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 ALYSON WAY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520429",
            "telephone_number": "817-933-9185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 ALYSON WAY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520429",
            "telephone_number": "817-933-9185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYOKABI",
        "first_name": "LOLIN",
        "credential": "NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "302287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lolinn07@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2903 Alyson Way",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750520429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 Jun 11, 2019; 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.