Kenyatta Bourne, RN
Individual provider Active NPI Registered Nurse · Aubrey, TX
NPI 1780508481 · NPPES record last updated Aug 5, 2026
Key facts
- NPI
- 1780508481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1124141 (TX)
- Practice address
- 1808 Settlement Way
Aubrey, TX 76227-1441 - Phone
- (682) 252-3825
- NPI assigned
- Aug 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1124141 | TX | Yes |
Addresses
Primary practice location
1808 Settlement Way
Aubrey, TX 76227-1441
Mailing address
1808 Settlement Way
Aubrey, TX 76227-1441
Other providers in Aubrey, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.