Active NPI
Teresiah N Mwangi, DNP, APRN
- Gerontology Nurse Practitioner
- Dallas, TX
National Provider Identifier
1770998205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP127814
- Practice address
- 1250 W Mockingbird LN
Ste 550
Dallas, TX 75247-4902 - Phone
- (469) 904-3555
- Fax
- (214) 819-2405
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | H-118458 | IA | |
| Nurse Practitioner | 363L00000X | J-118458 | IA | |
| Gerontology Nurse Practitioner | 363LG0600X | AP127814 | TX | Primary |
Addresses
Primary practice location
1250 W Mockingbird LN
Ste 550
Dallas, TX 75247-4902
Mailing address
1250 W Mockingbird LN
Ste 550
Dallas, TX 75247-4902
Phone (469) 904-3555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 495196YLPS | Other | TX | WELLMED MEDICAL GROUP PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H-118458 | IA | MD | Nurse Practitioner |
| J-118458 | IA | MD | Nurse Practitioner |
Interoperability endpoints
- teresiah.mwangi@wellmed.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1770998205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 W MOCKINGBIRD LN",
"address_2": "STE 550",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474902",
"telephone_number": "469-904-3555",
"fax_number": "214-819-2405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 W MOCKINGBIRD LN",
"address_2": "STE 550",
"city": "DALLAS",
"state": "TX",
"postal_code": "752474902",
"telephone_number": "469-904-3555",
"fax_number": "214-819-2405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MWANGI",
"first_name": "TERESIAH",
"middle_name": "N",
"credential": "DNP, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "H-118458",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IA",
"license": "J-118458",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "AP127814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMED MEDICAL GROUP PA",
"identifier": "495196YLPS",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.