Active NPI
Raifu F Mustapha
- Home Health Registered Nurse
- Arlington, TX
National Provider Identifier
1861434458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 631560
- Practice address
- 1111 W Arkansas LN
Arlington, TX 76013-6376 - Phone
- (817) 784-9454
- Fax
- (817) 467-7055
- NPI assigned
- Jun 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 631560 | TX | Primary |
| Licensed Vocational Nurse | 164X00000X | 196491 | TX |
Addresses
Primary practice location
1111 W Arkansas LN
Arlington, TX 76013-6376
Mailing address
1111 W Arkansas LN
Arlington, TX 76013-6376
Phone (817) 784-9454
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 |
|---|---|---|---|
| 631560 | TX | MD | Home Health Registered Nurse |
| 196491 | TX | MD | Licensed Vocational Nurse |
| 1000166 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha EMS Ambulance Service | 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.
-
- Land Ambulance
- Garland, TX
- NPI 1669705794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1861434458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 W ARKANSAS LN",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760136376",
"telephone_number": "817-784-9454",
"fax_number": "817-467-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 W ARKANSAS LN",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760136376",
"telephone_number": "817-784-9454",
"fax_number": "817-467-7055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSTAPHA",
"first_name": "RAIFU",
"middle_name": "F",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "TX",
"license": "631560",
"primary": true
},
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "196491",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.