Individual provider Active NPI

Hubertine Koko Kulapa

  • Licensed Vocational Nurse
  • Grand Prairie, TX
National Provider Identifier
1902382369
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
313955 Issued in TX
Practice address
1325 Daja LN Apt 2104
Grand Prairie, TX 75050-7653
Phone
(817) 495-2902
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 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 313955 TX Primary

Addresses

Primary practice location

1325 Daja LN Apt 2104
Grand Prairie, TX 75050-7653

Mailing address

1325 Daja LN Apt 2104
Grand Prairie, TX 75050-7653
Phone (817) 495-2902

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
313955TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1902382369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 DAJA LN APT 2104",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750507653",
            "telephone_number": "817-495-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 DAJA LN APT 2104",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750507653",
            "telephone_number": "817-495-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULAPA",
        "first_name": "HUBERTINE",
        "middle_name": "KOKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "313955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jul 18, 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.