Individual provider Active NPI

Thaddee Uwimana, NP

  • Family Nurse Practitioner
  • Abilene, TX
National Provider Identifier
1316480684
Registry record updated Dec 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP132332 Issued in TX
Practice address
1749 Pine Street
Abilene, TX 79601
Phone
(325) 696-0600
Fax
(325) 676-3873
NPI assigned
Nov 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2019

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 AP132332 TX Primary

Addresses

Primary practice location

1749 Pine Street
Abilene, TX 79601

Mailing address

4334 Bruce Drive
Abilene, TX 79606
Phone (325) 691-5059

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SONAbilene@direct.myteamcare.com Direct

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
I20170315000972 TX Practitioner - Nurse Practitioner 4183909161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1749 Pine St
Abilene, TX 79601-3043
Phone (325) 696-0600

Hospital & facility affiliations

  • Angels Care Home Health of San Angelo Home health agency, San Angelo, TX, CCN 679429
  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP132332TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center - Son - Lubbock Family CurrentSince Jan 29, 2017 Accepting new patients
Texas Tech University Health Sciences Center - Son - Lubbock CurrentSince Jan 29, 2017 Accepting new patients
Texas Tech University Health Sciences Center - Son - Lubbock Past Accepting new patients

Locations

1749 Pine St
Abilene, TX 79601
Phone (325) 672-4372

301 40th St
Lubbock, TX 79404
Phone (806) 743-9355

Interoperability endpoints

  • Direct secure messaging: sonabilene@direct.myteamcare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576281600000",
    "number": "1316480684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 BRUCE DRIVE",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79606",
            "telephone_number": "325-691-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 PINE STREET",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79601",
            "telephone_number": "325-696-0600",
            "fax_number": "325-676-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UWIMANA",
        "first_name": "THADDEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-18",
        "last_updated": "2019-12-14",
        "certification_date": "2019-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SONAbilene@direct.myteamcare.com",
            "affiliation": "N",
            "endpointDescription": "Abilene",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1749 Pine Street",
            "city": "Abilene",
            "state": "TX",
            "country_code": "US",
            "postal_code": "79601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.