Individual provider Active NPI

Stella Namaemba Kingodi, FNP-C

  • Acute Care Nurse Practitioner
  • Denton, TX
National Provider Identifier
1013490754
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP138748 Issued in TX
Practice address
3000 N Interstate 35
Denton, TX 76201-5119
Phone
(940) 898-7144
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP138748 TX
Acute Care Nurse Practitioner 363LA2100X AP138748 TX Primary
Critical Care Medicine Registered Nurse 163WC0200X 696161 TX

Addresses

Primary practice location

3000 N Interstate 35
Denton, TX 76201-5119

Mailing address

3000 N Interstate 35
Denton, TX 76201-5119
Phone (940) 898-7144

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skingodi149872@Direct.Texashealth.org Health Information Exchange (HIE)

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
I20181227000281 TX Practitioner - Nurse Practitioner 6901141639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

3000 N Interstate 35
Denton, TX 76201-5119
Phone (940) 898-7000

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Denton Hospital, Denton, TX, CCN 450743
  • Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
696161TXMDCritical Care Medicine Registered Nurse
AP138748TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Luther King Jr Family Clinic CurrentSince Oct 24, 2018 Accepting new patients
Texas Health Physicians Group CurrentSince Feb 14, 2022 Accepting new patients
Texas Health Physicians Group CurrentSince Feb 14, 2022 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Dallas County Mental Health & Mental Retardation Center PastSince Oct 24, 2018 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

2922 Martin Luther King Jr Blvd
Bldg B
Dallas, TX 75215
Phone (214) 426-3645

2922 Martin Luther King Jr Blvd
Dallas, TX 75215
Phone (214) 426-3645

2922 Mlk Blvd
#B
Dallas, TX 75215
Phone (214) 425-3645

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

3000 N I 35
Denton, TX 76201
Phone (940) 898-7047

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: stella.kingodi.1@17390.direct.athenahealth.com
  • Direct secure messaging: skingodi149872@direct.texashealth.org

Organizations & group practices 6

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 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1013490754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 N INTERSTATE 35",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762015119",
            "telephone_number": "940-898-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 N INTERSTATE 35",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762015119",
            "telephone_number": "940-898-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGODI",
        "first_name": "STELLA",
        "middle_name": "NAMAEMBA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138748",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP138748",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "TX",
            "license": "696161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skingodi149872@Direct.Texashealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange (HIE)",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3000 N Interstate 35",
            "city": "Denton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762015119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.