OrganizationActive
Ksjgq LLC
NPI 1225689144 · Family Nurse Practitioner · Dallas, TX
Provider details
- NPI number
- 1225689144
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Lawrence Idigbe, Nurse Practitioner(214) 636-0418
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9009 White Rock Trl
Dallas, TX 75238-3347
Phone: (214) 636-0418
Street-level locationGet directions
Mailing address
9607 Walnut St Apt 11104
Dallas, TX 75243-2363
Other names (DBA / former)
- Doing business as
- Ksjgq
- Doing business as
- Ksjgq
Registry dates
- Enumerated
- 2019-09-23
- Last updated
- 2020-07-29
- Certified
- 2020-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.