Joshua Otundo Mwambi

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

211484 Issued in TX

Practice address

2421 Whispering Creek Dr
Arlington, TX 76018-1333

Phone

(682) 597-0968

NPI assigned

Mar 4, 2020

Last updated

Mar 4, 2020By the provider in NPPES

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": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1225663875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 WHISPERING CREEK DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 WHISPERING CREEK DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181333",
            "telephone_number": "682-597-0968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWAMBI",
        "first_name": "JOSHUA",
        "middle_name": "OTUNDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-04",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "211484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mustard Seed Autism Project, Inc (ABA Academy)
• Rebby Chepkorir Mutai
• Emerance Mutimukeye, MSW
• Melisa Washington Muzny, M.S., M.ED., LPC
• MW Wellness VI, LLC
• Silas Mithika Mwambia
• MWLC Mansfield LLC
• My Health My Resources of Tarrant County (MHMR of Tarrant County)
• My Health My Resources of Tarrant County (MHMR of Tarrant County)
• My Health My Resources of Tarrant County (MHMR of Tarrant County)

• Licensed Practical Nurse in Arlington, TX
• Providers in Arlington, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.