Fred Waithaka Kioni

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

011187 Issued in TX

Practice address

4121 Marvin D Love Fwy
Suite 2000
Dallas, TX 75224-4800

Phone

(972) 709-7702

Fax

(972) 709-7708

NPI assigned

Jul 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gentox Lab Services LLC

  • Clinical Medical Laboratory
  • Farmers Branch, TX
  • NPI 1336593888
  NPD Authorized official
• Premiere Plus Home Health Services

  • Home Health Agency
  • Dallas, TX
  • NPI 1295978377
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1972701142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13154 COIT RD",
            "address_2": "SUITE 211",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405773",
            "telephone_number": "972-709-7702",
            "fax_number": "972-709-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 MARVIN D LOVE FWY",
            "address_2": "SUITE 2000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752244800",
            "telephone_number": "972-709-7702",
            "fax_number": "972-709-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIONI",
        "first_name": "FRED",
        "middle_name": "WAITHAKA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Kinsel, NNP
• Karen Beth Kinsella, LPC, LMFT
• Cassi Yvonne Kinsley, LPC
• Winnie Kinyua
• Sarah Roffler Kinzer, RN
• Leigh Ann Kipley, PHARMD
• Amanda Kipp, PA-C
• Jackson Kipp
• Kenneth Michael Kippels, M.D.
• Noah Melory Kippenbrock, D.M.D.

• Home Health Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.