Active NPI
Samuel Nganga Kamau, NP
- Primary Care Nurse Practitioner
- Bedford, TX
National Provider Identifier
1215442819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP135807
- Practice address
- 221 Bedford Rd Ste 313
Bedford, TX 76022-6251 - Phone
- (682) 738-3735
- NPI assigned
- Dec 6, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AP135807 | TX | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | AP135807 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | AP135807 | TX |
Addresses
Primary practice location
221 Bedford Rd Ste 313
Bedford, TX 76022-6251
Mailing address
221 Bedford Rd Ste 313
Bedford, TX 76022-6251
Other practice location 1
10008 Channing Rd
Fort Worth, TX 76244-8500
Phone (469) 212-6521
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP135807 | TX | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prudentevaluations Consulting LLC | Current | Accepting new patients |
Locations
221 Bedford Rd
Ste 313
Bedford, TX 76022
Phone (682) 738-3735
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Health Service Clinic/Center
- Bedford, TX
- NPI 1255064069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657324800000",
"number": "1215442819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 BEDFORD RD STE 313",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 BEDFORD RD STE 313",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226251",
"telephone_number": "682-738-3735"
}
],
"practiceLocations": [
{
"address_1": "10008 Channing Rd",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "762448500",
"country_code": "US",
"telephone_number": "469-212-6521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAMAU",
"first_name": "SAMUEL",
"middle_name": "NGANGA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-06",
"last_updated": "2022-07-09",
"certification_date": "2022-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "AP135807",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "AP135807",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "AP135807",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.