Individual provider Active NPI

Stella Namuwonge, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1629482377
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
125455 Issued in TX
Practice address
8144 Walnut Hill LN Ste 1120
Dallas, TX 75231-4388
Phone
(214) 313-9693
Fax
(214) 450-3651
NPI assigned
Jun 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 125455 TX Primary

Addresses

Primary practice location

8144 Walnut Hill LN Ste 1120
Dallas, TX 75231-4388

Mailing address

5511 Linden Rose LN
Sugar Land, TX 77479-7113
Phone (832) 605-6745

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
125455TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1629482377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 LINDEN ROSE LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797113",
            "telephone_number": "832-605-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8144 WALNUT HILL LN STE 1120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314388",
            "telephone_number": "214-313-9693",
            "fax_number": "214-450-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMUWONGE",
        "first_name": "STELLA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "125455",
            "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 Jun 19, 2014; 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.