Organization Active NPI

Kamisa & Associates Family Clinic and Urgent Care, PLLC

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1942958558
Registry record updated Mar 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
KAMISA & ASSOCIATES FAMILY CLINIC AND URGENT CARE, PLLC
Practice address
7219 Sierra Way
Dallas, TX 75241-5724
Phone
(469) 732-9781
NPI assigned
Mar 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2022

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

Authorized official

Name
Bobbie Snow Masenda, FNP-BCNPI 1013578491
Title
Owner
Phone
(469) 732-9781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

7219 Sierra Way
Dallas, TX 75241-5724

Mailing address

7219 Sierra Way
Dallas, TX 75241-5724
Phone (469) 732-9781

Other names 1

  • Kamisa & Associates Family Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647129600000",
    "number": "1942958558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7219 SIERRA WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752415724",
            "telephone_number": "469-732-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7219 SIERRA WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752415724",
            "telephone_number": "469-732-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMISA & ASSOCIATES FAMILY CLINIC AND URGENT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-13",
        "last_updated": "2022-03-13",
        "certification_date": "2022-03-13",
        "status": "A",
        "authorized_official_last_name": "MASENDA",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "SNOW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-732-9781",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kamisa & Associates Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2022; 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.