Individual provider Active NPI

Mary Nkemebi Nkai Njuikem III

  • Registered Nurse
  • Pflugerville, TX
National Provider Identifier
1194211029
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
942727 Issued in TX
Practice address
1408 Firebush Dr
Pflugerville, TX 78660-8949
Phone
(256) 694-6051
NPI assigned
Jul 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 942727 TX Primary

Addresses

Primary practice location

1408 Firebush Dr
Pflugerville, TX 78660-8949

Mailing address

1408 Firebush Dr
Pflugerville, TX 78660-8949
Phone (256) 694-6051

Other practice location 1

1408 Firebush Dr
Pflugerville, TX 78660-8949
Phone (256) 694-6051

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

State licenses

LicenseStateTypeSpecialty
942727TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1194211029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 FIREBUSH DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786608949",
            "telephone_number": "256-694-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 FIREBUSH DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786608949",
            "telephone_number": "256-694-6051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1408 Firebush Dr",
            "address_purpose": "LOCATION",
            "city": "Pflugerville",
            "state": "TX",
            "postal_code": "786608949",
            "country_code": "US",
            "telephone_number": "256-694-6051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NKAI NJUIKEM",
        "first_name": "MARY",
        "middle_name": "NKEMEBI",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "942727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.

Verify at the official NPI Registry.