Kobra Namdari Gurmendi, CNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1017433 Issued in TX

Practice address

1709 Morrish LN
Heath, TX 75032-7750

Phone

(505) 400-4501

NPI assigned

Jan 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Apple Home Health Care Systems Inc

  • Home Health Agency
  • Sugar Land, TX
  • NPI 1689967473

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership

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.

• Center for Vein Restoration NM LLC

  • Cardiovascular Disease Physician
  • Rio Rancho, NM
  • NPI 1891342994
  Medicare reassignment NPD
• Center for Vein Restoration NM LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Rio Rancho, NM
  • NPI 1255292280
  NPD (past)

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

{
    "created_epoch": "1642291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642291200000",
    "number": "1013668508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 MORRISH LN",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "750327750",
            "telephone_number": "505-400-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 MORRISH LN",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "750327750",
            "telephone_number": "505-400-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMDARI GURMENDI",
        "first_name": "KOBRA",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-16",
        "last_updated": "2022-01-16",
        "certification_date": "2022-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1017433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Providers, PA
• Mindful Psychiatry, PA
• Mobo JV LLC
• Evans Ntenga Mochabo
• Jessica Moreno, PMHNP-BC
• Gina Namie, LCSW
• Dawn Waldron Nelson, LCSW, ACSW, CART
• New Day Wound Care LLC
• Novapath Home Care Services LLC
• Nyles & Kyles Medical PLLC

• Gerontology Nurse Practitioner in Heath, TX
• Providers in Heath, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.