Individual provider Active NPI

Elizabeth A Ukiri, A-GNP-C

  • Gerontology Registered Nurse
  • Mesquite, TX
National Provider Identifier
1003331869
Registry record updated Aug 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
AG08170026 Issued in TX
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.

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 Home health agency, Arlington, TX, CCN 747578
  • Divine Home Health Care Home health agency, Carrollton, TX, CCN 673172
  • Emrick Home Health Home health agency, Garland, TX, CCN 743125

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
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

LicenseStateTypeSpecialty
AG08170026TXMDGerontology Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ayo Healthcare Clinic Gerontology CurrentSince Dec 4, 2017 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)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X AG08170026 TX Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
AG08170026OtherTXAMERICAN 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

Verify at the official NPI Registry.