Individual provider Active NPI

Kate Nwike, FNP

  • Nurse Practitioner
  • Mesquite, TX
National Provider Identifier
1548607146
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2011020281 Issued in TX
Practice address
3628 Redstart Dr
Mesquite, TX 75181-4300
Phone
(214) 647-1551
NPI assigned
May 23, 2013
Last updated
May 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2011020281 TX Primary

Addresses

Primary practice location

3628 Redstart Dr
Mesquite, TX 75181-4300

Mailing address

3628 Redstart Dr
Mesquite, TX 75181-4300
Phone (917) 497-7595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140513000655 TX Practitioner - Nurse Practitioner 6204069586 Reassigns benefits to 4 organizations
Practice locations: Mesquite, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2011020281TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Nov 11, 2017 Accepting new patients
Vpa of Texas PLLC CurrentSince Nov 11, 2017 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Home Visiting Doctors Management LLC CurrentSince Sep 1, 2014 Accepting new patients
American Visiting Doctors LLC CurrentSince Sep 1, 2014 Accepting new patients
Healthcare Liaison Services, LLC CurrentSince Sep 1, 2014 Accepting new patients
Wellmed Medical Group, PA PastSince Dec 9, 2018 Accepting new patients
Savior Health Care Services Inc Past Accepting new patients

Locations

5050 Quorum Dr
Ste 700
Dallas, TX 75254
Phone (214) 402-0101

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1548607146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3628 REDSTART DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751814300",
            "telephone_number": "917-497-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 REDSTART DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751814300",
            "telephone_number": "214-647-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWIKE",
        "first_name": "KATE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "2011020281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.