Tina F Mukete, REGISTERED NURSE

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

5129 N Bryan Rd
2
Palmhurst, TX 78573-4252

Phone

(281) 912-8747

NPI assigned

Feb 23, 2016

Last updated

Feb 23, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tina F Ebanja Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1508226259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5129 N BRYAN RD",
            "address_2": "2",
            "city": "PALMHURST",
            "state": "TX",
            "postal_code": "785734252",
            "telephone_number": "281-912-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5129 N BRYAN RD",
            "address_2": "2",
            "city": "PALMHURST",
            "state": "TX",
            "postal_code": "785734252",
            "telephone_number": "281-912-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKETE",
        "first_name": "TINA",
        "middle_name": "F",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "EBANJA",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Contractor in Palmhurst, TX
• Providers in Palmhurst, TX by specialty
• Contractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.