Active NPI
Jason Lusengo
- Contractor
- McKinney, TX
National Provider Identifier
1114454568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 4308 Carmel Mountain Dr
McKinney, TX 75070-7925 - Phone
- (972) 672-6612
- NPI assigned
- May 16, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Contractor | 171W00000X | Primary |
Addresses
Primary practice location
4308 Carmel Mountain Dr
McKinney, TX 75070-7925
Mailing address
4308 Carmel Mountain Dr
McKinney, TX 75070-7925
Phone (972) 672-6612
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Go Enterprise LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Secured Medical Transport (VAN)
- McKinney, TX
- NPI 1144932161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1114454568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4308 CARMEL MOUNTAIN DR",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750707925",
"telephone_number": "972-672-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4308 CARMEL MOUNTAIN DR",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750707925",
"telephone_number": "972-672-6612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSENGO",
"first_name": "JASON",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.