Rebecca Anyoso Mwonga, RN, BSN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

704828 Issued in TX

Practice address

1118 Cavalcade Dr
Grand Prairie, TX 75052

Phone

(817) 803-5884

Fax

(469) 520-5801

NPI assigned

Aug 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

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.

• JDM Healthcare Services LLC

  • Home Health Agency
  • Grand Prairie, TX
  • NPI 1366101115
  NPD Authorized official

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1376734335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 CAVALCADE DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527126",
            "telephone_number": "817-803-5884",
            "fax_number": "469-520-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 CAVALCADE DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75052",
            "telephone_number": "817-803-5884",
            "fax_number": "469-520-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWONGA",
        "first_name": "REBECCA",
        "middle_name": "ANYOSO",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "704828",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "704828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Multi Specialty Group of North Texas PLLC
• Susana Munoz Ortiz
• Sorani Munoz
• Adaobi Muorah, MSW
• Alice Wairimu Mwaura, LVN
• My Real Hair
• Sharon Mavis Adukwei Myers-Tackie, CNP
• N. Carrier Parkway, PC
• Wisam Nachawati, DO
• Justin Thomas Nadeau, ATC, LAT

• Home Health Registered Nurse in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Home Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.