Individual provider Active NPI

Keziah Njoroge

  • Psychiatric/Mental Health Nurse Practitioner
  • Plano, TX
National Provider Identifier
1093596231
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1124239 Issued in TX
Practice address
6404 International Pkwy
Plano, TX 75093-8225
Phone
(972) 267-1988
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1124239 TX Primary

Addresses

Primary practice location

6404 International Pkwy
Plano, TX 75093-8225

Mailing address

6404 International Pkwy
Plano, TX 75093-8225

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
I20250429001301 TX Practitioner - Nurse Practitioner 6709302177 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Behavioral Health Authority Psychiatric/Mental Health CurrentSince Jan 27, 2025 Accepting new patients
North Texas Behavioral Health Authority PastSince Apr 24, 2022 Accepting new patients

Locations

8111 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75251
Phone (214) 366-9407

108 W Grove St
Kaufman, TX 75142
Phone (214) 366-9407

Organizations & group practices 2

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": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1093596231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 INTERNATIONAL PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 INTERNATIONAL PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938225",
            "telephone_number": "972-267-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJOROGE",
        "first_name": "KEZIAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1124239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.