Individual provider Active NPI

Roseline Osebe Manono

  • Registered Nurse
  • Fort Worth, TX
National Provider Identifier
1033607411
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
942725 Issued in TX
Practice address
1529 Creekstone CT
Fort Worth, TX 76112-4639
Phone
(469) 684-7506
NPI assigned
May 1, 2018
Last updated
May 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 942725 TX Primary

Addresses

Primary practice location

1529 Creekstone CT
Fort Worth, TX 76112-4639

Mailing address

1529 Creekstone CT
Fort Worth, TX 76112-4639
Phone (469) 684-7506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
942725TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1033607411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 CREEKSTONE CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761124639",
            "telephone_number": "469-684-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 CREEKSTONE CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761124639",
            "telephone_number": "469-684-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANONO",
        "first_name": "ROSELINE",
        "middle_name": "OSEBE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "942725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.