Fidia Niyonzima

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Practice address

3249 Todd Ave
Fort Worth, TX 76110-4534

Phone

(862) 888-7692

NPI assigned

Sep 26, 2021

Last updated

Sep 7, 2023By 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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fidia Care Homes

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fort Worth, TX
  • NPI 1316723497

  Adult Care Home

  NPD Authorized official

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

{
    "created_epoch": "1632614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1669143962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 DAJA LN APT 2402",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750507663",
            "telephone_number": "862-888-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 TODD AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761104534",
            "telephone_number": "862-888-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIYONZIMA",
        "first_name": "FIDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-26",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fidiacarehomes.com",
            "affiliation": "N",
            "endpointDescription": "Company email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1325 Daja Ln Apt 2402",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750507663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fidiacahomes.com",
            "affiliation": "N",
            "endpointDescription": "Company Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1325 Daja Ln Apt 2402",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750507663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Abigail Renae Nix
• Celia Nix
• Morgan Conte Nix, DPT
• David W Nixon, ATC
• Samuel Leon Nixon, DPT
• Nizam Peerwani Mdpa
• Stella Njeru, NURSE PRACTITIONER
• Kiana Njoku-Ibe
• Nelius Njuguna, NP
• Erika Akie Nketsia-Tabiri, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.