Individual provider Active NPI

Joy Ogbimi

  • Family Nurse Practitioner
  • Grand Prairie, TX
National Provider Identifier
1013455930
Registry record updated Feb 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133008 Issued in TX
Practice address
2922 Pegasus CT
Grand Prairie, TX 75052-8042
Phone
(214) 809-0542
NPI assigned
Feb 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP133008 TX Primary

Addresses

Primary practice location

2922 Pegasus CT
Grand Prairie, TX 75052-8042

Mailing address

2922 Pegasus CT
Grand Prairie, TX 75052-8042

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
I20190314000392 TX Practitioner - Nurse Practitioner 0941540777 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Jun 3, 2024 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients

Locations

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

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": "1486771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486771200000",
    "number": "1013455930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 PEGASUS CT",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 PEGASUS CT",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528042",
            "telephone_number": "214-809-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBIMI",
        "first_name": "JOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-11",
        "last_updated": "2017-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.