Ijego Nwankwo, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1033715 Issued in TX

Practice address

1601 Elm St Ste 4360
Dallas, TX 75201-4701

Phone

(415) 403-2156

NPI assigned

Apr 10, 2021

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ijego.nwankwo.1@23370.direct.athenahealth.com

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.

• Alendre D. McGhee

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  • Englewood, OH
  • NPI 1861026973

  Psychiatric/Mental Health, TX

  Medicare reassignment NPD
• Mindful Behavioral Solutions LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Plantation, FL
  • NPI 1295306355

  TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1618012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1003496472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850363",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750850363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ELM ST STE 4360",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014701",
            "telephone_number": "415-403-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANKWO",
        "first_name": "IJEGO",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-10",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1033715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chioma Obianuju Duru Nwakanma, M.D.
• Stone Walter Ngozi Nwamadi
• Akaraka Destiny Nwanguma, RN
• Chidozie C Nwankwo, DPT, PT
• Chika Chigozie Nwankwo, M.D.
• Stella Ngozi Nwankwo, M.D.
• Brian Nwannunu, M.D.
• Chinyere T. Nwanosike, NURSE PRACTITIONER
• Chephirah Nwansi, DPT
• Onongaya Cally Nwanyanwu

• Psychiatric/Mental Health Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.