Individual provider Active NPI

Lewin Misiko Wawire, RN

  • Registered Nurse
  • Houston, TX
National Provider Identifier
1679005417
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
755991 Issued in TX
Practice address
3103 Creek Arbor Cir
Houston, TX 77084-7174
Phone
(832) 289-9878
NPI assigned
Mar 31, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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 755991 TX Primary

Addresses

Primary practice location

3103 Creek Arbor Cir
Houston, TX 77084-7174

Mailing address

3103 Creek Arbor Cir
Houston, TX 77084-7174
Phone (832) 289-9878

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
755991TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Brookstone Serenity Care, LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1679005417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 CREEK ARBOR CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847174",
            "telephone_number": "832-289-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 CREEK ARBOR CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770847174",
            "telephone_number": "832-289-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAWIRE",
        "first_name": "LEWIN",
        "middle_name": "MISIKO",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "755991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.