Individual provider Active NPI

Israel Jerome Aunko, FNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1982603833
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
664465 Issued in TX
Practice address
8335 Westchester Dr Ste 140
Dallas, TX 75225-5717
Phone
(214) 706-6916
Fax
(214) 369-3784
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP109980 TX
Family Nurse Practitioner 363LF0000X 664465 TX Primary

Addresses

Primary practice location

8335 Westchester Dr Ste 140
Dallas, TX 75225-5717

Mailing address

Minute Clinic # 4985
8335 Westchester Dr., Ste. 140
Dallas, TX 75225-0784
Phone (214) 706-6916

Other identifiers 2

IdentifierTypeStateIssuer
163844701MedicaidTX
163844702MedicaidTX

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1982603833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MINUTE CLINIC # 4985",
            "address_2": "8335 WESTCHESTER DR., STE. 140",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752250784",
            "telephone_number": "214-706-6916",
            "fax_number": "401-652-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8335 WESTCHESTER DR STE 140",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255717",
            "telephone_number": "214-706-6916",
            "fax_number": "214-369-3784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUNKO",
        "first_name": "ISRAEL",
        "middle_name": "JEROME",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP109980",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "664465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163844701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163844702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.