Bernard Rukwaro Kabati

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

909718 Issued in TX

Practice address

1011 Honor Heights Dr
Muskogee, OK 74401-1318

Phone

(952) 228-3292

NPI assigned

Apr 19, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1134816333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 CORNER BROOK LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232733",
            "telephone_number": "952-228-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 HONOR HEIGHTS DR",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744011318",
            "telephone_number": "952-228-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABATI",
        "first_name": "BERNARD",
        "middle_name": "RUKWARO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "909718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petrina Joslin, M.D.
• JTK Imaging Services LLC
• Hani George Jumean, MD FRCP FACP
• Andrea Jurgens, MD, MPH
• Justin W Hogle OD PLLC
• Shelley Kalka-Gower, BSW
• Elliott M Kampf, DC
• Deepak Karibassappa, MD
• Karissa Misner PLLC
• Karla Rice OD

• General Practice Registered Nurse in Muskogee, OK
• Providers in Muskogee, OK by specialty
• General Practice Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.