Alice W Koinange, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1138387 Issued in TX

Practice address

1112 N Floyd Rd Ste 9
Richardson, TX 75080-4243

Phone

(469) 369-2673

NPI assigned

Oct 5, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Navarro Regional Hospital Hospital, Corsicana, TX, CCN 450447

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Integris Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Richardson, TX
  • NPI 1821828419
  Medicare reassignment NPD Authorized official

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

• Navarro Hospital LP

  • General Acute Care Hospital
  • Corsicana, TX
  • NPI 1144274226
  Care Compare affiliation

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

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1104607134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 N FLOYD RD STE 9",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804243",
            "telephone_number": "469-369-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 N FLOYD RD STE 9",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804243",
            "telephone_number": "469-369-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOINANGE",
        "first_name": "ALICE",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-05",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1138387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latshie Shrell Knox
• Toni Lynn Knox, LCSW
• Janel Kobza, R.D., L.D.
• Joy Lorraine Koch
• Chitra Kohli, MD
• Usha Kollipara, RDN
• Jamie Koltun
• Joshua Kong, MD
• Dora M Kopoi
• Lawrence Jay Korenman, D.D.S.

• Psychiatric/Mental Health Nurse Practitioner in Richardson, TX
• Providers in Richardson, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.