Individual provider Active NPI

Diana Kahenda Kaluli

  • Licensed Vocational Nurse
  • Fort Worth, TX
National Provider Identifier
1679066583
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
322199 Issued in TX
Practice address
2345 Old Pecos TRL
Fort Worth, TX 76131-1646
Phone
(774) 303-6267
NPI assigned
Jun 14, 2018
Last updated
Jun 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 322199 TX Primary

Addresses

Primary practice location

2345 Old Pecos TRL
Fort Worth, TX 76131-1646

Mailing address

2345 Old Pecos TRL
Fort Worth, TX 76131-1646
Phone (774) 303-6267

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

State licenses

LicenseStateTypeSpecialty
322199TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1679066583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 OLD PECOS TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761311646",
            "telephone_number": "774-303-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 OLD PECOS TRL",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761311646",
            "telephone_number": "774-303-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALULI",
        "first_name": "DIANA",
        "middle_name": "KAHENDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "322199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.