MRS. JESSICA KHAMVONGSA
NPI 1649865387
Durable Medical Equipment & Medical Supplies in Bedford, TX

Active since March 04, 2021
2812 JASMINE CT, BEDFORD, TX 76021(817) 505-3488 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jessica Khamvongsa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JESSICA KHAMVONGSA (NPI 1649865387) is an individual durable medical equipment & medical supplies provider in Bedford, Texas and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1649865387
Entity TypeIndividualFemale
Primary Taxonomy332B00000X
Provider Legal NameMRS. JESSICA KHAMVONGSA
Location Address2812 JASMINE CTBedford, TX 76021-2703
Mailing Address2812 Jasmine CtBedford, TX 76021-2703 · (817) 505-3488
Sole ProprietorYes
Enumeration DateMarch 4, 2021
NPPES CertifiedMarch 4, 2021
NPI 1649865387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
2812 JASMINE CT, Bedford, TX 76021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Khamvongsa's NPI number?

The NPI number for Jessica Khamvongsa is 1649865387. It was assigned to this individual provider in the NPPES registry on March 4, 2021.

Where is Jessica Khamvongsa located?

Jessica Khamvongsa practices at 2812 Jasmine Ct, Bedford, TX 76021. The listed phone number is (817) 505-3488.

What is Jessica Khamvongsa's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Jessica Khamvongsa was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.