Mercy Kamwaro
Individual provider Active NPI Licensed Vocational Nurse · Watauga, TX
NPI 1619477205 · NPPES record last updated Feb 20, 2018
Key facts
- NPI
- 1619477205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 214687 (TX)
- Practice address
- 6337 Ripple Springs Dr
Watauga, TX 76148-1313 - Phone
- (682) 557-6974
- NPI assigned
- Feb 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214687 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 214687 | TX | |
| Nursing Care Agency | 251J00000X | 214687 | TX | |
| Licensed Vocational Nurse | 164X00000X | 214687 | TX | Yes |
Addresses
Primary practice location
6337 Ripple Springs Dr
Watauga, TX 76148-1313
Mailing address
3817 Victoria CT
Bedford, TX 76021-6159
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 613373928 | Medicaid | TX |
Other providers in Watauga, TX
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- Nicolas Michael Jordan
- Chris Robert Kennedy
- Dolores Rodriguez Kennedy
- Norma Jean Kindler
- KL Vision Associates, PLLC
- Brittany Kopecky
All providers in Watauga, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.