Individual provider Active NPI

Beatrice Towett Mkubwa, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Laredo, TX
National Provider Identifier
1114698289
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1036201 Issued in TX
Practice address
1500 Pappas St
Laredo, TX 78041-1701
Phone
(956) 552-8541
NPI assigned
Sep 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1036201 TX Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X AP61208134 WA

Addresses

Primary practice location

1500 Pappas St
Laredo, TX 78041-1701

Mailing address

12650 N Beach St Ste 114-1013
Fort Worth, TX 76244-4256
Phone (817) 849-4548

Other names 1

  • Beatrice Towett Mkubwa Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211108002338 WA Practitioner - Nurse Practitioner 1557750890 Reassigns benefits to 1 organization
I20220718003818 TX Practitioner - Nurse Practitioner 1557750890 Reassigns benefits to 6 organizations
I20260427000832 IA Practitioner - Nurse Practitioner 1557750890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Border Region MH Mr Community CenterGroup PAC ID 0648207381, 19 clinicians

Practice addresses (Care Compare)

101 1St St
Zapata, TX 78076-3319
Phone (956) 794-9664

1500 Pappas St
Laredo, TX 78041-1701
Phone (956) 794-3000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1036201TXMDPsychiatric/Mental Health Nurse Practitioner
AP61208134WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vest Seattle, LLC Single Specialty CurrentSince May 19, 2022 Accepting new patients
Vest Thurston LLC Single Specialty CurrentSince May 19, 2022 Accepting new patients
Border Region MH Mr Community Center Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Vest Seattle, LLC Single Specialty CurrentSince Nov 1, 2021 Accepting new patients

Locations

1500 Pappas St
Laredo, TX 78041
Phone (956) 794-3000

605 Woodland Square Loop SE
Lacey, WA 98503
Phone (312) 380-9455

3955 156th St NE
Marysville, WA 98271
Phone (360) 651-6400

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1114698289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12650 N BEACH ST STE 114-1013",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444256",
            "telephone_number": "817-849-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PAPPAS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780411701",
            "telephone_number": "956-552-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MKUBWA",
        "first_name": "BEATRICE",
        "middle_name": "TOWETT",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1036201",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61208134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEATRICE",
            "last_name": "MKUBWA",
            "middle_name": "TOWETT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.