Individual provider Active NPI

Akunna Ukanwoke, AGPCNP

  • Adult Health Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1053724591
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP125327 Issued in TX
Practice address
1250 8TH Ave
Suite 515
Fort Worth, TX 76104-4124
Phone
(817) 922-9968
Fax
(817) 922-9762
NPI assigned
Jun 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP125327 TX Primary
Gerontology Nurse Practitioner 363LG0600X AP125327 TX

Addresses

Primary practice location

1250 8TH Ave
Suite 515
Fort Worth, TX 76104-4124

Mailing address

1250 8TH Ave
Suite 515
Fort Worth, TX 76104-4124
Phone (817) 922-9968

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aukanwoke219146@direct.sw.org

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
I20140829001798 TX Practitioner - Nurse Practitioner 9032285309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1250 8TH Ave
Suite 515
Fort Worth, TX 76104-4130
Phone (817) 922-9968

4001 Worth St
Dallas, TX 75246-1608

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network CurrentSince Jun 16, 2014 Accepting new patients
Healthtexas Provider Network CurrentSince Jun 16, 2014 Accepting new patients
Mga Home Health Plus Services Inc PastSince Apr 30, 2003 Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

1250 8th Ave
Ste 515
Fort Worth, TX 76104
Phone (817) 922-4675

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mga Home Health Plus Services IncCedar Hill, TX, CCN 747321 Home health agency 5% Or Greater Direct Ownership Interest
Corporate Officer
Corporate Director
W-2 Managing Employee
May 30, 2011
Nov 7, 2006
May 30, 2011
May 30, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 1

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1053724591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 8TH AVE",
            "address_2": "SUITE 515",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044124",
            "telephone_number": "817-922-9968",
            "fax_number": "817-922-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 8TH AVE",
            "address_2": "SUITE 515",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044124",
            "telephone_number": "817-922-9968",
            "fax_number": "817-922-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UKANWOKE",
        "first_name": "AKUNNA",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-03",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP125327",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP125327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aukanwoke219146@direct.sw.org",
            "affiliation": "N",
            "address_1": "1250 8th Ave",
            "address_2": "Suite 515",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761044124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.