Organization Active NPI

Electramed

  • Durable Medical Equipment & Medical Supplies
  • Kennedale, TX
National Provider Identifier
1922170141
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0092018 Issued in TX
Legal business name
ELECTRAMED
Practice address
309 E Kennedale Pkwy
Kennedale, TX 76060-3213
Phone
(817) 563-2829
NPI assigned
Nov 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Kay A White
Title
Managing Officer
Phone
(817) 563-2829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0092018 TX Primary

Addresses

Primary practice location

309 E Kennedale Pkwy
Kennedale, TX 76060-3213

Mailing address

309 E Kennedale Pkwy
Kennedale, TX 76060-3213
Phone (817) 563-2829

National Provider Directory

National Provider Directory

Locations

309 E Kennedale Pkwy
Kennedale, TX 76060
Phone (817) 563-2829

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922170141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E KENNEDALE PKWY",
            "city": "KENNEDALE",
            "state": "TX",
            "postal_code": "760603213",
            "telephone_number": "817-563-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E KENNEDALE PKWY",
            "city": "KENNEDALE",
            "state": "TX",
            "postal_code": "760603213",
            "telephone_number": "817-563-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTRAMED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "817-563-2829",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0092018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennedale, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.