Individual provider Active NPI

Pascalina Ngendo Kangethe

  • Licensed Vocational Nurse
  • Richardson, TX
National Provider Identifier
1255828414
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
342056 Issued in TX
Practice address
632 Stillmeadow Dr
Richardson, TX 75081-5614
Phone
(469) 388-9857
NPI assigned
Apr 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 342056 TX Primary

Addresses

Primary practice location

632 Stillmeadow Dr
Richardson, TX 75081-5614

Mailing address

632 Stillmeadow Dr
Richardson, TX 75081-5614
Phone (469) 388-9857

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
342056TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1255828414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 STILLMEADOW DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815614",
            "telephone_number": "469-388-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 STILLMEADOW DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815614",
            "telephone_number": "469-388-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANGETHE",
        "first_name": "PASCALINA",
        "middle_name": "NGENDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "342056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.