Job Nyangenya Omanga, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

311609 Issued in TX

Practice address

2224 N Carroll Blvd
Denton, TX 76201-1834

Phone

(432) 517-5374

NPI assigned

Feb 28, 2018

Last updated

Feb 28, 2018By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1770084345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HERITAGE LN APT 103",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762091902",
            "telephone_number": "432-517-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 N CARROLL BLVD",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762011834",
            "telephone_number": "432-517-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMANGA",
        "first_name": "JOB",
        "middle_name": "NYANGENYA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "311609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "311609",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Licensed Vocational Nurse in Denton, TX
• Providers in Denton, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.