Elvis Mbunya, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

909879 Issued in TX

Practice address

12371 S Kirkwood Rd
Stafford, TX 77477-2836

Phone

(713) 995-9292

NPI assigned

Feb 23, 2018

Last updated

Jul 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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.

• Centricare Benefits LLC

  • Community/Behavioral Health Agency
  • Cheyenne, WY
  • NPI 1245022615
  NPD Authorized official
• Centricare Benefits LLC

  • Case Management Agency
  • Raleigh, NC
  • NPI 1760274492
  NPD Authorized official

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1699276717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S HEIGHTS BLVD APT 2925",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770075865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12371 S KIRKWOOD RD",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772836",
            "telephone_number": "713-995-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBUNYA",
        "first_name": "ELVIS",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-23",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "909879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maximal Dialysis Care
• May Wellness and Hydration Center LLC
• Francesca Mayweather
• MB Surgical Services
• Franca K Mbaba, RN
• Tanya McAlister
• Megan McCarty
• Jeffrey Isaac McDaniel, ATP
• Jordan Gregory McDougal, ATC, LAT
• Janice Louise McGrew, LVN

• Registered Nurse in Stafford, TX
• Providers in Stafford, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.