Active NPI
Gilbert Kaberia, RN
- Registered Nurse
- Fort Worth, TX
National Provider Identifier
1174090575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 802928
- Practice address
- 3840 Hulen St
Fort Worth, TX 76107-7277 - Phone
- (817) 335-3022
- Fax
- (817) 810-3042
- NPI assigned
- Oct 24, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 802928 | TX | Primary |
Addresses
Primary practice location
3840 Hulen St
Fort Worth, TX 76107-7277
Mailing address
3840 Hulen St
Fort Worth, TX 76107-7277
Phone (817) 335-3022
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 802928 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Staffed Healthcare, LLC | Current | Accepting new patients | |
| Avenue Home Health Services | Current | Accepting new patients |
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.
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- Non-emergency Medical Transport (VAN)
- Tacoma, WA
- NPI 1396539300
-
- Home Health Agency
- Garland, TX
- NPI 1174955082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1174090575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3840 HULEN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761077277",
"telephone_number": "817-335-3022",
"fax_number": "817-810-3042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3840 HULEN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761077277",
"telephone_number": "817-335-3022",
"fax_number": "817-810-3042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KABERIA",
"first_name": "GILBERT",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-24",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "802928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.