KSJGQ
NPI 1225689144
Nurse Practitioner - Family in Dallas, TX

Q: What is Ksjgq LLC's NPI number?

The NPI number for Ksjgq LLC is 1225689144. It was assigned to this organization in the NPPES registry on September 23, 2019. The provider is doing business as Ksjgq.

Q: What is Ksjgq LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ksjgq LLC was last updated on July 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 23, 2019

9009 WHITE ROCK TRL, DALLAS, TX 75238(214) 636-0418 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2020, Sep 23, 2019 (2 updates tracked since 2019).

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About Ksjgq NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KSJGQ (NPI 1225689144) is a healthcare organization registered as a family in Dallas, Texas and active in the NPI registry since September 2019. The organization lists Lawrence Idigbe, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1225689144

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameKSJGQ LLC

Location Address9009 WHITE ROCK TRLDallas, TX 75238-3347

Mailing Address9607 Walnut St Apt 11104Dallas, TX 75243-2363 · (214) 636-0418

Phone(214) 636-0418

Organization SubpartNo

Authorized OfficialLawrence IdigbeNurse Practitioner · (214) 636-0418

Enumeration DateSeptember 23, 2019

Last NPPES UpdateJuly 29, 20202 updates tracked since enumeration

NPPES CertifiedJuly 29, 2020

✔ NPI 1225689144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

9009 WHITE ROCK TRL, Dallas, TX 75238

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Other Names 1

Doing Business AsKsjgq

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA ESPINALES M.S. CCC SLP

Speech-Language Pathologist