Individual provider Active NPI

Mary Asuquo Nkpanam, REGISTERED NURSE RN

  • Registered Nurse
  • Arlington, TX
National Provider Identifier
1578039178
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
952750 Issued in TX
Practice address
609 Jackson Square Dr Apt 216
Arlington, TX 76010-6303
Phone
(817) 343-9390
NPI assigned
Oct 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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 952750 TX Primary

Addresses

Primary practice location

609 Jackson Square Dr Apt 216
Arlington, TX 76010-6303

Mailing address

609 Jackson Square Dr Apt 216
Arlington, TX 76010-6303
Phone (817) 343-9390

Other names 1

  • Mary Asuquo Bassay Former name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
952750TXMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1578039178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 JACKSON SQUARE DR APT 216",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106303",
            "telephone_number": "817-343-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 JACKSON SQUARE DR APT 216",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106303",
            "telephone_number": "817-343-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKPANAM",
        "first_name": "MARY",
        "middle_name": "ASUQUO",
        "credential": "REGISTERED NURSE RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "952750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BASSAY",
            "middle_name": "ASUQUO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.