Individual provider Active NPI

Seta Seta Etim

  • Home Health Registered Nurse
  • Fort Worth, TX
National Provider Identifier
1265027031
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
84732 Issued in TX
Practice address
10464 Evening View Dr
Fort Worth, TX 76131-3968
Phone
(614) 632-1935
NPI assigned
Mar 4, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 84732 TX Primary

Addresses

Primary practice location

10464 Evening View Dr
Fort Worth, TX 76131-3968

Mailing address

10464 Evening View Dr
Fort Worth, TX 76131-3968
Phone (614) 632-1935

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL watchfuleyestaffingandhealthcareservices.com Direct

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
84732TXMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1265027031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10464 EVENING VIEW DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761313968",
            "telephone_number": "614-632-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10464 EVENING VIEW DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761313968",
            "telephone_number": "614-632-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETIM",
        "first_name": "SETA",
        "middle_name": "SETA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "84732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "watchfuleyestaffingandhealthcareservices.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10464 Evening View Dr",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761313968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.