Individual provider Active NPI

Kenneth William Armstrong, LVN

  • Licensed Practical Nurse
  • San Antonio, TX
National Provider Identifier
1801375308
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
196545 Issued in TX
Practice address
8610 N New Braunfels Ave Ste 405
San Antonio, TX 78217-6358
Phone
(210) 804-0193
Fax
(210) 804-0194
NPI assigned
Aug 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 196545 TX Primary

Addresses

Primary practice location

8610 N New Braunfels Ave Ste 405
San Antonio, TX 78217-6358

Mailing address

8610 N New Braunfels Ave Ste 405
San Antonio, TX 78217-6358
Phone (210) 804-0193

Other identifiers 1

IdentifierTypeStateIssuer
196545MedicaidTX

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
196545TXMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Childrens Homecare LP Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1801375308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 N NEW BRAUNFELS AVE STE 405",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176358",
            "telephone_number": "210-804-0193",
            "fax_number": "210-804-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 N NEW BRAUNFELS AVE STE 405",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176358",
            "telephone_number": "210-804-0193",
            "fax_number": "210-804-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "KENNETH",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TX",
            "license": "196545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196545",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.