Individual provider Active NPI

Tawanda Alfred Ngondo

  • Registered Nurse
  • Frisco, TX
National Provider Identifier
1891318051
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
904031 Issued in TX
Practice address
1750 FM 423 Apt 1253
Frisco, TX 75033-0606
Phone
(469) 343-2397
NPI assigned
May 22, 2020
Last updated
May 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 904031 TX Primary

Addresses

Primary practice location

1750 FM 423 Apt 1253
Frisco, TX 75033-0606

Mailing address

1750 FM 423 Apt 1253
Frisco, TX 75033-0606
Phone (463) 343-2397

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

LicenseStateTypeSpecialty
904031TXMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1891318051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 FM 423 APT 1253",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750330606",
            "telephone_number": "463-343-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 FM 423 APT 1253",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750330606",
            "telephone_number": "469-343-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGONDO",
        "first_name": "TAWANDA",
        "middle_name": "ALFRED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "904031",
            "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 May 22, 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.

Verify at the official NPI Registry.