Individual provider Active NPI

Ferdinand Alucho, RN, BSN

  • Registered Nurse
  • Dallas, TX
National Provider Identifier
1548760457
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
908591 Issued in TX
Practice address
11011 Woodmeadow Pkwy Apt 125
Dallas, TX 75228-1487
Phone
(972) 876-2754
Fax
(469) 677-6069
NPI assigned
Feb 16, 2018
Last updated
May 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2019

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 908591 TX Primary

Addresses

Primary practice location

11011 Woodmeadow Pkwy Apt 125
Dallas, TX 75228-1487

Mailing address

11011 Woodmeadow Pkwy Apt 125
Dallas, TX 75228-1487
Phone (972) 876-2754

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
908591TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1548760457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 WOODMEADOW PKWY APT 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752281487",
            "telephone_number": "972-876-2754",
            "fax_number": "469-677-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 WOODMEADOW PKWY APT 125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752281487",
            "telephone_number": "972-876-2754",
            "fax_number": "469-677-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALUCHO",
        "first_name": "FERDINAND",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-16",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "908591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.