Individual provider Active NPI

Kevin Onsomu Maangi, RN

  • Registered Nurse
  • Odessa, TX
National Provider Identifier
1386144061
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
937454 Issued in TX
Practice address
5050 Tanglewood LN Apt 1705
Odessa, TX 79762-4807
Phone
(817) 903-7470
NPI assigned
Feb 19, 2018
Last updated
Feb 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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 937454 TX Primary

Addresses

Primary practice location

5050 Tanglewood LN Apt 1705
Odessa, TX 79762-4807

Mailing address

5050 Tanglewood LN Apt 1705
Odessa, TX 79762-4807
Phone (817) 903-7470

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
937454TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1386144061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 TANGLEWOOD LN APT 1705",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797624807",
            "telephone_number": "817-903-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 TANGLEWOOD LN APT 1705",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797624807",
            "telephone_number": "817-903-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAANGI",
        "first_name": "KEVIN",
        "middle_name": "ONSOMU",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "937454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.