Primary Visiting Clinicians PLLC
NPI 1720468390ActiveOrganization· Nurse Practitioner, Family· Garland, TX
Nurse Practitioner, Family in Garland, Texas, registered in NPPES in June 2015. The authorized official on file is Zainabu Koroma, FNP, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720468390 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 9, 2015 |
| Last updated in NPPES | Oct 18, 2021 |
| Certified by provider | Oct 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | AP120628 | TX |
| Internal Medicine | 207R00000X | L5507 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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