Beatrice Wamuyu Kihungi, R.N

Key facts

NPI

1831544451

Entity type

Individual (NPI type 1)

Primary specialty

Adult Psychiatric/Mental Health Registered Nurse 163WP0809X

License

95063054 (CA)

Practice address

17121 Andover Way
Lathrop, CA 95330-8892

Phone

(510) 290-4687

NPI assigned

May 2, 2016

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Registered Nurse

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 2, 2016.

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462147200000",
    "number": "1831544451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17121 ANDOVER WAY",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "953308892",
            "telephone_number": "510-290-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17121 ANDOVER WAY",
            "city": "LATHROP",
            "state": "CA",
            "postal_code": "953308892",
            "telephone_number": "510-290-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIHUNGI",
        "first_name": "BEATRICE",
        "middle_name": "WAMUYU",
        "credential": "R.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "95063054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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