Individual provider Active NPI

Joyce Louise Kenebrew, APN

  • Nurse Practitioner
  • Richardson, TX
National Provider Identifier
1992056816
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
756942 Issued in TX
Practice address
1201 S Sherman St
Suite 201
Richardson, TX 75081-6507
Phone
(972) 925-9087
NPI assigned
Oct 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 756942 TX Primary

Addresses

Primary practice location

1201 S Sherman St
Suite 201
Richardson, TX 75081-6507

Mailing address

7251 Laguna
Grand Prairie, TX 75054-0138
Phone (832) 549-0984

Other identifiers 1

IdentifierTypeStateIssuer
312230101MedicaidTX

Other names 1

  • Joyce Benson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121213000354 TX Practitioner - Nurse Practitioner 1850543166 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LTHC Solutions LLCGroup PAC ID 4385949254, 11 clinicians

Practice addresses (Care Compare)

1217 Viridian Park LN
Arlington, TX 76005-1117
Phone (808) 561-0579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LTHC Solutions LLC CurrentSince Sep 11, 2018 Accepting new patients
Long Term Health Careline Corp CurrentSince Jan 30, 2024 Accepting new patients
Center for Urologic Surgery LLC Past Accepting new patients

Locations

965 Junction Dr
Allen, TX 75013
Phone (214) 490-4987

4252 Bryant Irvin Rd
Benbrook, TX 76109
Phone (817) 738-2975

275 SE John Jones Dr
Burleson, TX 76028
Phone (817) 730-4603

230 S Clark Rd
Cedar Hill, TX 75104
Phone (972) 291-7877

2035 Granbury St
Cleburne, TX 76033
Phone (817) 228-4855

603 E Plantation Dr
Clute, TX 77531
Phone (979) 265-4221

8017 W Virginia Dr
Dallas, TX 75237
Phone (972) 709-1112

900 Westpark Way
Euless, TX 76040
Phone (817) 545-4071

3600 Angle Ave
Ft Worth, TX 76106
Phone (817) 624-6122

2416 NW 18th St
Ft Worth, TX 76106
Phone (817) 626-5454

201 Sycamore School Rd
Ft Worth, TX 76134
Phone (817) 293-7610

8703 Davis Blvd
Keller, TX 76248
Phone (817) 577-9999

3800 Marina Dr
Lake Worth, TX 76135
Phone (817) 237-7231

120 Meadow View Dr
Northlake, TX 76247
Phone (940) 648-2731

101 Reese Dr
Red Oak, TX 75154
Phone (469) 552-0500

7625 Glenview Dr
Richland Hills, TX 76180
Phone (817) 284-1427

7804 Virgil Anthony Blvd
Watauga, TX 76148
Phone (817) 498-7220

3650 S Interstate Highway 35 E
Waxahachie, TX 75165
Phone (972) 875-9051

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1992056816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7251 LAGUNA",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750540138",
            "telephone_number": "832-549-0984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S SHERMAN ST",
            "address_2": "SUITE 201",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750816507",
            "telephone_number": "972-925-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENEBREW",
        "first_name": "JOYCE",
        "middle_name": "LOUISE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "756942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312230101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOYCE",
            "last_name": "BENSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.