Pauline Wanjiru Kiragu

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1156729 Issued in TX

Practice address

904 Sundrop Dr
Little Elm, TX 75068-5174

Phone

(214) 603-1829

NPI assigned

May 31, 2018

Last updated

Apr 3, 2024By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Joyspot Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Little Elm, TX
  • NPI 1487535605
  Medicare reassignment NPD Authorized official
• Behavioral Health of North Texas LLP

  • Prescribing (Medical) Psychologist
  • Dallas, TX
  • NPI 1699328195
  Medicare reassignment NPD

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1417449927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 SUNDROP DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685174",
            "telephone_number": "214-603-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 SUNDROP DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685174",
            "telephone_number": "214-603-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRAGU",
        "first_name": "PAULINE",
        "middle_name": "WANJIRU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1156729",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "874622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dae Sik Alex Kim, D.P.M.
• Leah Jamison Kim, PT, DPT
• Latoya King
• Kingsville Care
• Gladys Wanjiku Kinyua, RN
• Rebecca Valdez Kirkley, FNP
• Klemmyjb
• Pamela Blair Kopczynski, LPC
• Nada Krayem
• Bryan Kretz, D.C.

• Psychiatric/Mental Health Nurse Practitioner in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.