Active NPI
Racheal Ebangha Besong, RN
- Registered Nurse
- Addison, TX
National Provider Identifier
1235611567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 148980
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
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
| License | State | Type | Specialty |
|---|---|---|---|
| 148980 | IA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lightflower, LTD. | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.