Individual provider Active NPI

Nongnuch Kuligowski

  • Family Nurse Practitioner
  • Denton, TX
National Provider Identifier
1013473248
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140120 Issued in TX
Practice address
2200 W University Dr Ste 150
Denton, TX 76201-0029
Phone
(940) 304-0189
NPI assigned
Feb 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP140120 TX Primary

Addresses

Primary practice location

2200 W University Dr Ste 150
Denton, TX 76201-0029

Mailing address

234 W Campbell Rd
Richardson, TX 75080-3512
Phone (972) 474-3221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211105001810 TX Practitioner - Nurse Practitioner 2466841820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total MD Physicians Group, PLLCGroup PAC ID 7012313521, 127 clinicians

Practice addresses (Care Compare)

234 W Campbell Rd
Richardson, TX 75080-3512
Phone (972) 474-3221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP140120TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total MD Physicians Group, PLLC Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Kin Wong, D.O., PA PastSince Jan 1, 2020 Accepting new patients

Locations

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

2200 W University Dr
Ste 150
Denton, TX 76201
Phone (940) 304-0189

1720 S Friendswood Dr
Ste 108
Friendswood, TX 77546
Phone (281) 407-8020

5040 Highway 121
Ste 200
Lewisville, TX 75056

8528 Davis Blvd
Ste 150
North Richland Hills, TX 76182
Phone (817) 242-2630

234 W Campbell Rd
Richardson, TX 75080
Phone (972) 474-3221

603 Louis Henna Blvd
Ste B140
Round Rock, TX 78664
Phone (512) 200-2269

2175 E Southlake Blvd
Ste 120
Southlake, TX 76092
Phone (817) 813-2700

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1013473248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 W CAMPBELL RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803512",
            "telephone_number": "972-474-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W UNIVERSITY DR STE 150",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762010029",
            "telephone_number": "940-304-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULIGOWSKI",
        "first_name": "NONGNUCH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.