KIMBERLY AGWU (NPI# 1689217721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689217721 |
| Entity Type | Individual |
| Full Name | KIMBERLY AGWU |
| Credential | APRN, AGACNP-BC |
| Practice Address |
3301 Matlock Rd Arlington TX 76015-2908 |
| Mailing Address |
1500 Red River St Austin TX 78701-1918 |
| Practice Telephone | 6825096200 |
| Mailing Telephone | 5123247000 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP143672 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 Red River St, Austin, TX 787011918 | 5123247000 |
| Street Address |
3301 MATLOCK RD |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76015-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265417786 | George Wisdom Abatso | Emergency Medicine | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2005-12-07 |
| 1275147944 | Conceptah Luchendo | Nurse Practitioner | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-09-01 |
| 1396361580 | Khomthorn P Cunvong | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-06-23 |
| 1922621846 | Heran Abiye | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-27 |
| 1669094678 | Allison Jane Walworth | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-13 |
| 1538781539 | Sumeet Kumar Gossain | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-12 |
| 1609498997 | Angela Issa | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-11 |
| 1427670785 | Joedwina Randine Gaston | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-09 |
| 1114549433 | Sahil Patel | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-08 |
| 1083236319 | Jessenia Ariana Contreras | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407358955 | Shavon Ohiomu | Licensed Vocational Nurse | 3402 Timberwood Circle Apt 2130, Arlington, TX 76015 | 2018-03-01 |
| 1194235580 | In Balance In Control, L.L.C. | Massage Therapist | 1402 W Mayfield Rd, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1063922458 | Kenneth Eugene Frey II | Massage Therapist | 1402 West Mayfield Road, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1285181263 | U S Anesthesia Partners of Texas, Pa | Nurse Practitioner | 800 W Arbrook, Suite 120, Arlington, TX 76015 | 2016-09-07 |
| 1659739365 | Danika Rasmussengeter | Chiropractor | 1216 Florida Dr # 130, Arlington, TX 76015 | 2016-02-09 |
| 1962809541 | Texas Rehabilitation Hospital of Arlington, LLC | Rehabilitation Hospital | 900 West Arbrook Blvd, Arlington, TX 76015 | 2014-11-26 |
| 1528470473 | Felicia Montgomery | Doula | 3903 Melear Drive, Unit 151681, Arlington, TX 76015 | 2014-05-27 |
| 1437572427 | E.s. Drugs Inc. | Pharmacy | 3295 S. Cooper Street #107, Arlington, TX 76015 | 2014-01-27 |
| 1477802890 | James Tra | Pharmacist | 1600 West Arbrook Blvd, Arlington, TX 76015 | 2012-08-30 |
| 1225397912 | Apsp-arlington, LLC | Clinical Medical Laboratory | 1348 W. Mayfield Road, Suite 200, Arlington, TX 76015 | 2012-05-15 |
| Find all providers in zip 76015 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275160566 | Jerise Atock Agha | Nurse Practitioner | 7307 Fossil Lake Dr, Arlington, TX 76002-4713 | 2020-03-25 |
| 1144788480 | Ronel Layugan | Nurse Practitioner | 1805 N Collins St Ste 101, Arlington, TX 76011-4311 | 2019-03-05 |
| 1679037626 | Tiffany A Darling | Nurse Practitioner | 4872 Bailey Dr, Arlington, TN 38002-5830 | 2019-01-24 |
| 1518439017 | Adedoyin Aderonmu | Nurse Practitioner | 4515 Chaumont Trl, Arlington, TX 76013-8341 | 2018-12-20 |
| 1467940759 | North Texas Nephrology Associates, P.a. | Nurse Practitioner | 1132 South Bowen Road, Arlington, TX 76013 | 2018-04-23 |
| 1104298686 | North Texas Mobile Urgent Care, Pllc | Nurse Practitioner | 805 Washington Dr., Suite F, Arlington, TX 76011 | 2015-10-23 |
| 1245661735 | Patrick James Sherlock | Nurse Practitioner | 8200 Matlock Rd, Ste. #100, Arlington, TX 76002-4804 | 2013-12-09 |
| 1376699769 | Melinda G Brockman | Nurse Practitioner | 1001 N Waldrop Dr Ste 509, Arlington, TX 76012-4703 | 2007-01-26 |
| 1710937016 | Sandra Laird | Nurse Practitioner | 3921 W Green Oaks Blvd, Suite D, Arlington, TX 76016-2764 | 2006-05-10 |
| 1952913188 | Marjorie Griffin | Nurse Practitioner | 701 S Nedderman Dr, Arlington, TX 76019-9800 | 2020-08-19 |
| Find all providers in ARLINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.