Active NPI
Peace Kayode, R.N
- Registered Nurse
- Richmond, TX
National Provider Identifier
1962740167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 933164
- Practice address
- 11106 Rainy Canyon LN
Richmond, TX 77406-1684 - Phone
- (516) 325-0316
- NPI assigned
- Jan 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 625288 | NY | |
| Registered Nurse | 163W00000X | 933164 | TX | Primary |
Addresses
Primary practice location
11106 Rainy Canyon LN
Richmond, TX 77406-1684
Mailing address
11106 Rainy Canyon LN
Richmond, TX 77406-1684
Phone (516) 325-0316
Other practice location 1
827 Clarkson Ave
Brooklyn, NY 11203-2256
Phone (718) 735-7141
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 625288 | NY | MD | Registered Nurse |
| 933164 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1962740167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11106 RAINY CANYON LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774061684",
"telephone_number": "516-325-0316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11106 RAINY CANYON LN",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774061684",
"telephone_number": "516-325-0316"
}
],
"practiceLocations": [
{
"address_1": "827 Clarkson Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112032256",
"country_code": "US",
"telephone_number": "718-735-7141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAYODE",
"first_name": "PEACE",
"name_prefix": "Mrs.",
"credential": "R.N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-22",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "625288",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "933164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.