Individual provider Active NPI

Evelyn Mesienze Nkwelle

  • Registered Nurse
  • Harker Heights, TX
National Provider Identifier
1528652146
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
809950 Issued in NY
Practice address
814 Kachina Loop
Harker Heights, TX 76548-8805
Phone
(720) 975-6784
NPI assigned
Feb 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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 809950 NY Primary

Addresses

Primary practice location

814 Kachina Loop
Harker Heights, TX 76548-8805

Mailing address

814 Kachina Loop
Harker Heights, TX 76548-8805
Phone (720) 975-6784

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
809950NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1528652146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 KACHINA LOOP",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765488805",
            "telephone_number": "720-975-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 KACHINA LOOP",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765488805",
            "telephone_number": "720-975-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKWELLE",
        "first_name": "EVELYN",
        "middle_name": "MESIENZE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "809950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harker Heights, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.