Individual provider Active NPI

Victoria Tshibola Kavuanda

  • Registered Nurse
  • Fort Worth, TX
National Provider Identifier
1447819008
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
958636 Issued in TX
Practice address
5521 Springford Cir Apt 1825
Fort Worth, TX 76244-5370
Phone
(817) 987-7848
NPI assigned
Jun 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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 958636 TX Primary

Addresses

Primary practice location

5521 Springford Cir Apt 1825
Fort Worth, TX 76244-5370

Mailing address

5521 Springford Cicle
Apt 1825
Keller, TX 76244
Phone (817) 987-7848

Other names 1

  • Tshibola Kamba Former name

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

State licenses

LicenseStateTypeSpecialty
958636TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1447819008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 SPRINGFORD CICLE",
            "address_2": "APT 1825",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "817-987-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 SPRINGFORD CIR APT 1825",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445370",
            "telephone_number": "817-987-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVUANDA",
        "first_name": "VICTORIA",
        "middle_name": "TSHIBOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "958636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TSHIBOLA",
            "last_name": "KAMBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.