Active NPI
Abel Bokossa Mukete
- Health & Wellness Coach
- Edinburg, TX
National Provider Identifier
1902537517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 4424 S McColl Rd
Edinburg, TX 78539-9608 - Phone
- (956) 322-5310
- NPI assigned
- Jun 23, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Primary |
Addresses
Primary practice location
4424 S McColl Rd
Edinburg, TX 78539-9608
Mailing address
905 W Smith Dr Apt 4
Pharr, TX 78577-0585
Phone (281) 912-8747
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://athenanet.athenahealth.com/1/78/login.esp | Health Information Exchange (HIE) |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Wellness Center PLLC | Current | Accepting new patients |
Locations
4424 S McColl Rd
Edinburg, TX 78539
Phone (956) 322-5292
Interoperability endpoints
- https://api.platform.athenahealth.com/18720/brand/1/csg/1/fhir/r4
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.
-
- Family Medicine Physician
- Edinburg, TX
- NPI 1417689944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1902537517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 W SMITH DR APT 4",
"city": "PHARR",
"state": "TX",
"postal_code": "785770585",
"telephone_number": "281-912-8747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4424 S MCCOLL RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785399608",
"telephone_number": "956-322-5310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUKETE",
"first_name": "ABEL",
"middle_name": "BOKOSSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-23",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://athenanet.athenahealth.com/1/78/login.esp",
"affiliation": "N",
"endpointDescription": "This URL is for my EMR which has all the capabilities",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4424 S McColl Rd",
"city": "Edinburg",
"state": "TX",
"country_code": "US",
"postal_code": "785399608",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.