Active NPI
Lydia A Dwuma, RN, HP (ASCP)
- Home Health Agency
- Frisco, TX
National Provider Identifier
1861635641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 012058
- Practice address
- 15195 Shellwood LN
Frisco, TX 75035-6493 - Phone
- (469) 252-4832
- Fax
- (972) 369-0673
- NPI assigned
- Apr 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 012058 | TX | Primary |
Addresses
Primary practice location
15195 Shellwood LN
Frisco, TX 75035-6493
Mailing address
15195 Shellwood LN
Frisco, TX 75035-6493
Phone (469) 252-4832
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239235200000",
"number": "1861635641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15195 SHELLWOOD LN",
"city": "FRISCO",
"state": "TX",
"postal_code": "750356493",
"telephone_number": "469-252-4832",
"fax_number": "972-369-0673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15195 SHELLWOOD LN",
"city": "FRISCO",
"state": "TX",
"postal_code": "750356493",
"telephone_number": "469-252-4832",
"fax_number": "972-369-0673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWUMA",
"first_name": "LYDIA",
"middle_name": "A",
"credential": "RN, HP (ASCP)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-09",
"last_updated": "2009-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "012058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.