Antonina Njeri Gilmore-Mbugua

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

328292 Issued in TX

Practice address

14501 Montfort Dr Apt 207
Dallas, TX 75254-8548

Phone

(214) 886-5783

NPI assigned

Feb 17, 2018

Last updated

Feb 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1518825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518825600000",
    "number": "1073013942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14501 MONTFORT DR APT 207",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548548",
            "telephone_number": "214-886-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14501 MONTFORT DR APT 207",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548548",
            "telephone_number": "214-886-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE-MBUGUA",
        "first_name": "ANTONINA",
        "middle_name": "NJERI",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-17",
        "last_updated": "2018-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "328292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Childs Gillum, MS, CCC-SLP
• Michael David Gilly Jr., M.D.
• Andres Daniel Gilman, DMD
• Harriet Gilman, MS, CCC-SLP
• Evangeline Gilmer
• Alicia Gilmore, MS, RD,CSO, LD, CNSC
• Ashley Partain Gilmore, LCSW
• Bernita Gilmore
• Jane Elizabeth Gilmore, MD
• Jim E Gilmore, MD

• Licensed Vocational Nurse in Dallas, TX
• Providers in Dallas, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.