Active NPI
Katia Starlenis Bossous
- Nephrology Registered Nurse
- Brownsville, TX
National Provider Identifier
1841891629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Registered Nurse
- License
- 104766
- Practice address
- 4970 N Expressway Ste D
Brownsville, TX 78526-4269 - Phone
- (956) 802-9553
- Fax
- (833) 313-1449
- NPI assigned
- Nov 6, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Registered Nurse | 163WN0300X | 104766 | MT | Primary |
Addresses
Primary practice location
4970 N Expressway Ste D
Brownsville, TX 78526-4269
Mailing address
4970 N Expressway Ste D
Brownsville, TX 78526-4269
Phone (956) 802-9553
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
| License | State | Type | Specialty |
|---|---|---|---|
| 104766 | MT | MD | Nephrology Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360 Kidney Care | Current | Accepting new patients |
Locations
4970 N Expressway
Ste D
Brownsville, TX 78526
Phone (956) 350-2050
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.
-
- Nephrology Physician
- Brownsville, TX
- NPI 1104427970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1841891629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4970 N EXPRESSWAY STE D",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785264269",
"telephone_number": "956-802-9553",
"fax_number": "833-313-1449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4970 N EXPRESSWAY STE D",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785264269",
"telephone_number": "956-802-9553",
"fax_number": "833-313-1449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSSOUS",
"first_name": "KATIA",
"middle_name": "STARLENIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-06",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0300X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nephrology",
"state": "MT",
"license": "104766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brownsville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.