Individual provider Active NPI

Kofi Wisdom Semakor, RN

  • Registered Nurse
  • Grapevine, TX
National Provider Identifier
1972111300
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
863039 Issued in TX
Practice address
101 E Glade Rd Apt 11303
Grapevine, TX 76051-7437
Phone
(405) 520-5751
NPI assigned
Jul 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 863039 TX Primary

Addresses

Primary practice location

101 E Glade Rd Apt 11303
Grapevine, TX 76051-7437

Mailing address

101 E Glade Rd Apt 11303
Grapevine, TX 76051-7437
Phone (405) 520-5751

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

LicenseStateTypeSpecialty
863039TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1972111300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E GLADE RD APT 11303",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517437",
            "telephone_number": "405-520-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E GLADE RD APT 11303",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517437",
            "telephone_number": "405-520-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMAKOR",
        "first_name": "KOFI",
        "middle_name": "WISDOM",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "863039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.