Active NPI
Kami Wegner, RN, CPNP
- Pediatric Nurse Practitioner
- Keller, TX
National Provider Identifier
1063790277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 642274
- Practice address
- 230 N Rufe Snow Dr
Keller, TX 76248-4226 - Phone
- (817) 337-5503
- Fax
- (817) 337-0110
- NPI assigned
- Jul 22, 2011
- Last updated
- Jul 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 642274 | TX | Primary |
Addresses
Primary practice location
230 N Rufe Snow Dr
Keller, TX 76248-4226
Mailing address
230 N Rufe Snow Dr
Keller, TX 76248-4226
Phone (817) 337-5503
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)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 642274 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omar a. Gomez, M.D.,P.a. | Past | Accepting new patients | |
| Acs Primary Care Physicians Southwest, PA | Pediatrics | Past | Accepting new patients |
| Omar a. Gomez, M.D.,P.a. | Past | Accepting new patients | |
| Honeygo Pediatrics | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
Pediatrics
-
- Pediatrics Physician
- Baltimore, MD
- NPI 1790842094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311292800000",
"number": "1063790277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 N RUFE SNOW DR",
"city": "KELLER",
"state": "TX",
"postal_code": "762484226",
"telephone_number": "817-337-5503",
"fax_number": "817-337-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N RUFE SNOW DR",
"city": "KELLER",
"state": "TX",
"postal_code": "762484226",
"telephone_number": "817-337-5503",
"fax_number": "817-337-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEGNER",
"first_name": "KAMI",
"name_prefix": "Mrs.",
"credential": "RN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-22",
"last_updated": "2011-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "642274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.