Individual provider Active NPI

Josephat Omweno Kirochi, RN

  • Hemodialysis Registered Nurse
  • Grand Prairie, TX
National Provider Identifier
1841701265
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hemodialysis Registered NurseTaxonomy code 163WH0500X
License
846625 Issued in TX
Practice address
5784 Jillian Way
Grand Prairie, TX 75052-0418
Phone
(817) 449-7705
NPI assigned
Oct 12, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hemodialysis Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WH0500X 846625 TX Primary

Addresses

Primary practice location

5784 Jillian Way
Grand Prairie, TX 75052-0418

Mailing address

5784 Jillian Way
Grand Prairie, TX 75052-0418
Phone (817) 449-7705

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
846625TXMDHemodialysis Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Apple Renal Care LLC Hemodialysis 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": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1841701265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5784 JILLIAN WAY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520418",
            "telephone_number": "817-449-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5784 JILLIAN WAY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520418",
            "telephone_number": "817-449-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIROCHI",
        "first_name": "JOSEPHAT",
        "middle_name": "OMWENO",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "TX",
            "license": "846625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.