Individual provider Active NPI

Christabell Bwogi Nansikombi, LVN

  • Licensed Vocational Nurse
  • Fort Worth, TX
National Provider Identifier
1710456835
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
343078 Issued in TX
Practice address
6301 Sabbatical St Apt 928
Fort Worth, TX 76131-7547
Phone
(951) 313-5109
NPI assigned
Nov 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 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 343078 TX Primary

Addresses

Primary practice location

6301 Sabbatical St Apt 928
Fort Worth, TX 76131-7547

Mailing address

6301 Sabbatical St Apt 928
Fort Worth, TX 76131-7547
Phone (951) 313-5109

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
343078TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1710456835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 SABBATICAL ST APT 928",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761317547",
            "telephone_number": "951-313-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 SABBATICAL ST APT 928",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761317547",
            "telephone_number": "951-313-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANSIKOMBI",
        "first_name": "CHRISTABELL",
        "middle_name": "BWOGI",
        "name_prefix": "Miss",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "343078",
            "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 Nov 19, 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.