Active NPI
Kenneth Wayne Westerby, R.N.F.A.
- Medical-Surgical Registered Nurse
- Amarillo, TX
National Provider Identifier
1689789356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 640621
- Practice address
- 1100 S Coulter St
Amarillo, TX 79106-1836 - Phone
- (806) 468-9700
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 640621 | TX | Primary |
Addresses
Primary practice location
1100 S Coulter St
Amarillo, TX 79106-1836
Mailing address
1100 S Coulter St
Amarillo, TX 79106-1836
Phone (806) 468-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8J3675 | Other | TX | BLUE CROSS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 640621 | TX | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1689789356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 S COULTER ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061836",
"telephone_number": "806-468-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S COULTER ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061836",
"telephone_number": "806-468-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTERBY",
"first_name": "KENNETH",
"middle_name": "WAYNE",
"credential": "R.N.F.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "TX",
"license": "640621",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8J3675",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.