Individual provider Active NPI

Doris P.R. Mays, CNA-MED AIDE PHLEBOT

  • Nurse's Aide
  • Killeen, TX
National Provider Identifier
1043071772
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
NA0008169027 Issued in TX
Practice address
3609 Dustin CT
Apt a
Killeen, TX 76549-3560
Phone
(254) 462-2658
NPI assigned
Jan 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X NA0008169027 TX Primary

Addresses

Primary practice location

3609 Dustin CT
Apt a
Killeen, TX 76549-3560

Mailing address

3609 Dustin CT
Apt a
Killeen, TX 76549-3560
Phone (254) 833-1931

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
NA0008169027TXMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1043071772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 DUSTIN CT",
            "address_2": "APT A",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765493560",
            "telephone_number": "254-833-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 DUSTIN CT",
            "address_2": "APT A",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765493560",
            "telephone_number": "254-462-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYS",
        "first_name": "DORIS",
        "middle_name": "P.R.",
        "name_prefix": "Ms.",
        "credential": "CNA-MED AIDE PHLEBOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "TX",
            "license": "NA0008169027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.