Individual provider Active NPI

Ernest N Mwathi, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Garland, TX
National Provider Identifier
1316407083
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1075652 Issued in MD
Practice address
2630 Arapaho Rd Ste 200
Garland, TX 75044-7900
Phone
(469) 543-6993
NPI assigned
Mar 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1075652 MD Primary

Addresses

Primary practice location

2630 Arapaho Rd Ste 200
Garland, TX 75044-7900

Mailing address

2630 Arapaho Rd Ste 200
Garland, TX 75044-7900
Phone (469) 543-6993

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
I20221107001111 TX Practitioner - Nurse Practitioner 7719354612 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1075652MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shiloh Urgent Care PLLC CurrentSince Oct 22, 2023 Accepting new patients
Behavioral Health of North Texas LLP CurrentSince Oct 10, 2022 Accepting new patients

Locations

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

5858 Main St
Ste 200
Frisco, TX 75033
Phone (214) 619-0721

2630 Arapaho Rd
#200
Garland, TX 75044
Phone (469) 543-6993

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26037/brand/1/csg/1/fhir/r4

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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1316407083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 ARAPAHO RD STE 200",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750447900",
            "telephone_number": "469-543-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 ARAPAHO RD STE 200",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750447900",
            "telephone_number": "469-543-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWATHI",
        "first_name": "ERNEST",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "1075652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.