Individual provider Active NPI

Mathias Owusu

  • Registered Nurse
  • Mansfield, TX
National Provider Identifier
1285500967
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1017870 Issued in TX
Practice address
1011 Gentle Knoll TRL
Mansfield, TX 76063-2396
Phone
(903) 948-5410
NPI assigned
Oct 11, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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 1017870 TX Primary

Addresses

Primary practice location

1011 Gentle Knoll TRL
Mansfield, TX 76063-2396

Mailing address

1011 Gentle Knoll TRL
Mansfield, TX 76063-2396
Phone (903) 948-5410

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
1017870TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1760140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1285500967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 GENTLE KNOLL TRL",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632396",
            "telephone_number": "903-948-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 GENTLE KNOLL TRL",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632396",
            "telephone_number": "903-948-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWUSU",
        "first_name": "MATHIAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-11",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1017870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.