Active NPI
Elizabeth A Ukiri, A-GNP-C
- Gerontology Registered Nurse
- Mesquite, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Registered Nurse
- License
- AG08170026
- Practice address
- 5350 Riverport Dr
Mesquite, TX 75150-1218 - Phone
- (214) 500-9844
- Fax
- (214) 500-9844
- NPI assigned
- Aug 13, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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.
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Arlington, TX
- NPI 1053501528
-
- Home Health Agency
- Carrollton, TX
- NPI 1972548725
-
- Home Health Agency
- Garland, TX
- NPI 1417064619
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
565 W Oates Dr
Suite 107
Garland, TX 75043-5463
565 W Oates Rd
Suite 107
Garland, TX 75043-5463
Phone (469) 434-7311
Hospital & facility affiliations
- Mission Care Home Health Services
- Divine Home Health Care
- Emrick Home Health
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180221001019 | TX | Practitioner - Nurse Practitioner | 7618238353 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG08170026 | TX | MD | Gerontology Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ayo Healthcare Clinic | Gerontology | Current | Accepting new patients |
Locations
565 W Oates Rd
Garland, TX 75043
Phone (469) 434-7311
565 W Oates Rd
Ste 107
Garland, TX 75043
Phone (214) 500-9844
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | AG08170026 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5350 Riverport Dr
Mesquite, TX 75150-1218
Mailing address
5350 Riverport Dr
Mesquite, TX 75150-1218
Phone (214) 500-9844
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| AG08170026 | Other | TX | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 13, 2017.
{
"created_epoch": "1502582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502582400000",
"number": "1003331869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 RIVERPORT DR",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751501218",
"telephone_number": "214-500-9844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5350 RIVERPORT DR",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751501218",
"telephone_number": "214-500-9844",
"fax_number": "214-500-9844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UKIRI",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "A-GNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-13",
"last_updated": "2017-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "TX",
"license": "AG08170026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
"identifier": "AG08170026",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.