Individual provider Active NPI

Justina Ada Okeke, FNP

  • Family Nurse Practitioner
  • Wylie, TX
National Provider Identifier
1073029567
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F12170454 Issued in TX
Practice address
318 Lake Wichita Dr
Wylie, TX 75098-4890
Phone
(972) 429-5280
NPI assigned
Dec 19, 2017
Last updated
Jan 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F12170454 TX Primary
Registered Nurse 163W00000X 765427 TX

Addresses

Primary practice location

318 Lake Wichita Dr
Wylie, TX 75098-4890

Mailing address

318 Lake Wichita Dr
Wylie, TX 75098-4890
Phone (972) 429-5280

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
I20180710001397 TX Practitioner - Nurse Practitioner 1850647660 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
765427TXMDRegistered Nurse
F12170454TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Health, Inc. CurrentSince Aug 23, 2021 Accepting new patients
Trinity Home Visiting Doctors PLLC CurrentSince Jul 18, 2018 Accepting new patients
Sierra Healthcare Network LLC CurrentSince Oct 15, 2019 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 1, 2021 Accepting new patients
Apex Wellness & Care LLC Family CurrentSince Oct 26, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince Mar 1, 2021 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

2727 Lyndon B Johnson Fwy
Ste 2129
Dallas, TX 75234
Phone (214) 935-5777

2727 Lyndon B Johnson Fwy
Ste 326
Dallas, TX 75234
Phone (214) 935-5777

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

9550 Skillman St
Ste 330
Dallas, TX 75243
Phone (214) 389-2442

2735 Villa Creek Dr
Ste A143
Farmers Branch, TX 75234
Phone (972) 677-7964

3600 Conflans Rd
Ste 200
Irving, TX 75061
Phone (972) 262-2260

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

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1073029567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 LAKE WICHITA DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984890",
            "telephone_number": "972-429-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 LAKE WICHITA DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984890",
            "telephone_number": "972-429-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEKE",
        "first_name": "JUSTINA",
        "middle_name": "ADA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F12170454",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "765427",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.