Organization Active NPI

Care Express Medical Center LLC

  • Family Nurse Practitioner
  • Garland, TX
National Provider Identifier
1447721873
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CARE EXPRESS MEDICAL CENTER LLC
Practice address
3641 Broadway Blvd Ste 200
Garland, TX 75043-1677
Phone
(214) 235-2555
NPI assigned
Dec 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Kabiru Akere, NPNPI 1043659444
Title
Owner
Phone
(214) 235-2555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3641 Broadway Blvd Ste 200
Garland, TX 75043-1677

Mailing address

3641 Broadway Blvd Ste 200
Garland, TX 75043-1677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190201000107 TX Part B Supplier - Clinic/Group Practice 1355688110 Receives reassigned benefits from 1 practitioner
Practice locations: Garland, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2161050Care Express Medical Center3641 Broadway Blvd Suite 200, Garland, TX 75043Certificate of waiverDec 4, 2026

National Provider Directory

National Provider Directory

Locations

3641 Broadway Blvd
Ste 200
Garland, TX 75043
Phone (972) 271-8666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1447721873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 BROADWAY BLVD STE 200",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 BROADWAY BLVD STE 200",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431677",
            "telephone_number": "214-235-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE EXPRESS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "AKERE",
        "authorized_official_first_name": "KABIRU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-235-2555",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.