Individual provider Active NPI

Rita A Kucmierz, WHNP

  • Women's Health Nurse Practitioner
  • Palestine, TX
National Provider Identifier
1801830674
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
KUCI-0432-0113 Issued in TX
Practice address
3215 W Oak St
Palestine, TX 75801-8484
Phone
(903) 731-7000
Fax
(903) 731-7016
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X KUCI-0432-0113 TX Primary

Addresses

Primary practice location

3215 W Oak St
Palestine, TX 75801-8484

Mailing address

PO Box 145
Palestine, TX 75802-0145
Phone (903) 731-7000

Other identifiers 1

IdentifierTypeStateIssuer
KUCI-0432-0113OtherTXNP LICENSE

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
KUCI-0432-0113TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prompt Care Internal Medicine PA 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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1801830674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758020145",
            "telephone_number": "903-731-7000",
            "fax_number": "903-731-7016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 W OAK ST",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758018484",
            "telephone_number": "903-731-7000",
            "fax_number": "903-731-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCMIERZ",
        "first_name": "RITA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "KUCI-0432-0113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "KUCI-0432-0113",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palestine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.