Nyamizi Ruth Kimisha, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

342058 Issued in TX

Practice address

13601 Preston Rd Ste 210
Dallas, TX 75240-4911

Phone

(972) 702-0300

NPI assigned

Feb 28, 2018

Last updated

Feb 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1649771262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 FRANKFORD RD APT 15204",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877810",
            "telephone_number": "469-427-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 PRESTON RD STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752404911",
            "telephone_number": "972-702-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMISHA",
        "first_name": "NYAMIZI",
        "middle_name": "RUTH",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "342058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Thomas Kimbrell, MD
• Misty Dale Kimbrell, DNP, RN, ACNP-BC
• Charles William Kimbrough, MD
• Marquisha Kimbrough, B.S.
• Samantha Newton Kimbrough, MSN, APRN, A-GNP-C
• Kimodale Inc (Hunts Pharmacy)
• Kimodale, Inc. (Hunt Drug & Pharmacy (Hunts Pharmacy))
• Jacinta Wangari Kimotho
• Paul Kinberg, D.P.M.
• Tangy Nicole Kincaid Thomas, CRNA

• Licensed Vocational Nurse in Dallas, TX
• Providers in Dallas, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.