Active NPI
Kameesha McBride, HAIR LOSS SPECIALIST
- Prosthetist
- Round Rock, TX
National Provider Identifier
1073975538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 2000 S Ih 35 Ste F1
Round Rock, TX 78681-6934 - Phone
- (512) 758-4102
- Fax
- (512) 758-4102
- NPI assigned
- Mar 24, 2016
- 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 |
|---|---|---|---|---|
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
2000 S Ih 35 Ste F1
Round Rock, TX 78681-6934
Mailing address
PO Box 442
Pflugerville, TX 78691-0442
Other practice location 1
1315 Grand Avenue Pkwy
103
Pflugerville, TX 78660-2283
Phone (512) 788-4047
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1073975538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 442",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786910442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 S IH 35 STE F1",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786816934",
"telephone_number": "512-758-4102",
"fax_number": "512-758-4102"
}
],
"practiceLocations": [
{
"address_1": "1315 Grand Avenue Pkwy",
"address_2": "103",
"address_purpose": "LOCATION",
"city": "Pflugerville",
"state": "TX",
"postal_code": "786602283",
"country_code": "US",
"telephone_number": "512-788-4047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCBRIDE",
"first_name": "KAMEESHA",
"credential": "HAIR LOSS SPECIALIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-24",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.