Active NPI
Macmillen Thokozani, REGISTERED NURSE
- Critical Care Medicine Registered Nurse
- Katy, TX
National Provider Identifier
1780404657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Registered Nurse
- License
- 921722
- Practice address
- 23900 Katy Fwy
Katy, TX 77494-1323 - Phone
- (281) 644-7000
- NPI assigned
- Oct 15, 2024
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 921722 | TX | Primary |
Addresses
Primary practice location
23900 Katy Fwy
Katy, TX 77494-1323
Mailing address
29015 Knollwood Trail LN
Katy, TX 77494-3877
Phone (540) 569-8694
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 |
|---|---|---|---|
| 921722 | TX | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1780404657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29015 KNOLLWOOD TRAIL LN",
"city": "KATY",
"state": "TX",
"postal_code": "774943877",
"telephone_number": "540-569-8694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23900 KATY FWY",
"city": "KATY",
"state": "TX",
"postal_code": "774941323",
"telephone_number": "281-644-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOKOZANI",
"first_name": "MACMILLEN",
"name_prefix": "Mr.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-15",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "TX",
"license": "921722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.