Active NPI
Negussu Mengistu Legesse, RN
- Registered Nurse
- Rowlett, TX
National Provider Identifier
1457260218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 824871
- Practice address
- 6800 Scenic Dr Ste 1071
Rowlett, TX 75088-4552 - Phone
- (972) 520-8000
- NPI assigned
- Sep 5, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 824871 | TX | Primary |
Addresses
Primary practice location
6800 Scenic Dr Ste 1071
Rowlett, TX 75088-4552
Mailing address
8376 Radiant St
Garland, TX 75043-4864
Phone (469) 278-2518
Other names 1
- Negussu Legesse Mengistu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788566400000",
"number": "1457260218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8376 RADIANT ST",
"city": "GARLAND",
"state": "TX",
"postal_code": "750434864",
"telephone_number": "469-278-2518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 SCENIC DR STE 1071",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750884552",
"telephone_number": "972-520-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGESSE",
"first_name": "NEGUSSU",
"middle_name": "MENGISTU",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-05",
"last_updated": "2026-09-05",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "824871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NEGUSSU",
"last_name": "MENGISTU",
"middle_name": "LEGESSE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rowlett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.