Individual provider Active NPI

Racheal Ebangha Besong, RN

  • Registered Nurse
  • Addison, TX
National Provider Identifier
1235611567
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
148980 Issued in IA
Practice address
3925 Vitruvian Way Apt 1907
Addison, TX 75001-4088
Phone
(386) 366-3461
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 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 148980 IA Primary

Addresses

Primary practice location

3925 Vitruvian Way Apt 1907
Addison, TX 75001-4088

Mailing address

3925 Vitruvian Way Apt 1907
Addison, TX 75001-4088
Phone (386) 366-3461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251201003623 TX Practitioner - Nurse Practitioner 6002309846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lightflower, LTD.Group PAC ID 3375675713, 6 clinicians

Practice addresses (Care Compare)

1400 Preston Rd
Suite 400
Plano, TX 75093-5189
Phone (214) 699-1179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
148980IAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lightflower, LTD. CurrentSince Nov 1, 2025 Accepting new patients

Locations

1400 Preston Rd
Ste 400
Plano, TX 75093
Phone (214) 699-1179

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.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1235611567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 VITRUVIAN WAY APT 1907",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014088",
            "telephone_number": "386-366-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 VITRUVIAN WAY APT 1907",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014088",
            "telephone_number": "386-366-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESONG",
        "first_name": "RACHEAL",
        "middle_name": "EBANGHA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "148980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.