Individual provider Active NPI

Negussu Mengistu Legesse, RN

  • Registered Nurse
  • Rowlett, TX
National Provider Identifier
1457260218
Registry record updated Sep 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
824871 Issued in TX
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

Updated by the provider on Sep 5, 2026

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 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 Former name

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.

Verify at the official NPI Registry.