Individual provider Active NPI

Lydia A Dwuma, RN, HP (ASCP)

  • Home Health Agency
  • Frisco, TX
National Provider Identifier
1861635641
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012058 Issued in TX
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

Updated by the provider on Apr 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.