Individual provider Active NPI

Bernice W Mwaura-Gathungu

  • Pediatric Registered Nurse
  • Houston, TX
National Provider Identifier
1083178164
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
915846 Issued in TX
Practice address
1502 Enclave Pkwy Apt 211
Houston, TX 77077-3635
Phone
(253) 227-6853
NPI assigned
Jan 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 915846 TX Primary

Addresses

Primary practice location

1502 Enclave Pkwy Apt 211
Houston, TX 77077-3635

Mailing address

1502 Enclave Pkwy Apt 211
Houston, TX 77077-3635
Phone (253) 227-6853

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
915846TXMDPediatric Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1083178164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 ENCLAVE PKWY APT 211",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773635",
            "telephone_number": "253-227-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 ENCLAVE PKWY APT 211",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773635",
            "telephone_number": "253-227-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWAURA-GATHUNGU",
        "first_name": "BERNICE",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TX",
            "license": "915846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.