Individual provider Active NPI

Ruth Ete Sakwe

  • Family Nurse Practitioner
  • Forney, TX
National Provider Identifier
1104665769
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1162655 Issued in TX
Practice address
1408 Fishergate Dr
Forney, TX 75126
Phone
(214) 664-2012
NPI assigned
May 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1162655 TX Primary

Addresses

Primary practice location

1408 Fishergate Dr
Forney, TX 75126

Mailing address

1408 Fishergate Dr
Forney, TX 75126
Phone (214) 664-2012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240705000446 TX Practitioner - Nurse Practitioner 9234673989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hephzibah Visiting CliniciansGroup PAC ID 1254688641, 11 clinicians

Practice addresses (Care Compare)

1534 N Hampton Rd
Suite 100
Desoto, TX 75115-2493
Phone (469) 941-4029

Hospital & facility affiliations

  • Medsource Health Care System Home health agency, Dallas, TX, CCN 679551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1162655TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hephzibah Visiting Clinicians Family CurrentSince Jun 10, 2024 Accepting new patients
Alpha & Omega Family Practice CurrentSince Apr 22, 2026 Accepting new patients

Locations

111 Executive Way
Ste 102
Desoto, TX 75115
Phone (469) 585-8129

1534 N Hampton Rd
Ste 100
Desoto, TX 75115
Phone (469) 941-4029

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1104665769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 FISHERGATE DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "75126",
            "telephone_number": "214-664-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 FISHERGATE DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "75126",
            "telephone_number": "214-664-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKWE",
        "first_name": "RUTH",
        "middle_name": "ETE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1162655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

Verify at the official NPI Registry.