Active NPI
Nelius Njuguna, NP
- Gerontology Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1457829962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP138693
- Practice address
- 5204 Bryant Irvin Rd Apt 2119
Fort Worth, TX 76132-3847 - Phone
- (210) 382-7687
- NPI assigned
- Nov 2, 2018
- Last updated
- Nov 2, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP138693 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | AP138693 | TX | Primary |
Addresses
Primary practice location
5204 Bryant Irvin Rd Apt 2119
Fort Worth, TX 76132-3847
Mailing address
5204 Bryant Irvin Rd Apt 2119
Fort Worth, TX 76132-3847
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP138693 | TX | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541116800000",
"number": "1457829962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5204 BRYANT IRVIN RD APT 2119",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761323847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5204 BRYANT IRVIN RD APT 2119",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761323847",
"telephone_number": "210-382-7687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NJUGUNA",
"first_name": "NELIUS",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-02",
"last_updated": "2018-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "AP138693",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "AP138693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.