Individual provider Active NPI

Agatha Ijeoma Okorie

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1013718824
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1067134 Issued in TX
Practice address
14501 Empanada Dr Apt 912
Houston, TX 77083-3389
Phone
(346) 653-4257
NPI assigned
Mar 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024194653 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1067134 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10019771 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP70036741 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 85432 NM

Addresses

Primary practice location

14501 Empanada Dr Apt 912
Houston, TX 77083-3389

Mailing address

14501 Empanada Dr Apt 912
Houston, TX 77083-3389
Phone (346) 653-4257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
85432NMMDPsychiatric/Mental Health Nurse Practitioner
10019771ORMDPsychiatric/Mental Health Nurse Practitioner
1067134TXMDPsychiatric/Mental Health Nurse Practitioner
0024194653VAMDPsychiatric/Mental Health Nurse Practitioner
AP70036741WAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1013718824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14501 EMPANADA DR APT 912",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770833389",
            "telephone_number": "346-653-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14501 EMPANADA DR APT 912",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770833389",
            "telephone_number": "346-653-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKORIE",
        "first_name": "AGATHA",
        "middle_name": "IJEOMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024194653",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1067134",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10019771",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP70036741",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "85432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.