Individual provider Active NPI

Nelius Njuguna, NP

  • Gerontology Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1457829962
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP138693 Issued in TX
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
AP138693TXMDGerontology 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.

Verify at the official NPI Registry.