Individual provider Active NPI

Millicent Njeru

  • Licensed Vocational Nurse
  • Plano, TX
National Provider Identifier
1942861372
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
346666 Issued in TX
Practice address
2301 Pebble Vale Dr Apt 913
Plano, TX 75075-2564
Phone
(469) 396-2677
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 346666 TX Primary

Addresses

Primary practice location

2301 Pebble Vale Dr Apt 913
Plano, TX 75075-2564

Mailing address

2301 Pebble Vale Dr Apt 913
Plano, TX 75075-2564
Phone (469) 396-2677

Other identifiers 1

IdentifierTypeStateIssuer
34711799MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://millynjeru.com

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
346666TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1942861372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 PEBBLE VALE DR APT 913",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750752564",
            "telephone_number": "469-396-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 PEBBLE VALE DR APT 913",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750752564",
            "telephone_number": "469-396-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJERU",
        "first_name": "MILLICENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "346666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34711799",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://millynjeru.com",
            "affiliation": "N",
            "address_1": "2301 Pebble Vale Dr",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750752585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.