Provider Demographics
NPI:1538890058
Name:STOREY, AKIA K (LVN)
Entity type:Individual
Prefix:MR
First Name:AKIA
Middle Name:K
Last Name:STOREY
Suffix:
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3838 N SAM HOUSTON PKWY E STE 180
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77032-3417
Mailing Address - Country:US
Mailing Address - Phone:469-383-1734
Mailing Address - Fax:
Practice Address - Street 1:3838 N SAM HOUSTON PKWY E STE 180
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77032-3417
Practice Address - Country:US
Practice Address - Phone:469-383-1734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-24
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY348013164W00000X
174H00000X
TX1102472164X00000X
TXNA0061007098208D00000X, 251E00000X, 374U00000X, 376K00000X, 172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical Nurse
No174H00000XOther Service ProvidersHealth Educator
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide