Individual provider Active NPI

Nwamaka Ngumezi, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1114495983
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP139656 Issued in TX
Practice address
3417 Gaston Ave Ste 815
Dallas, TX 75246-2034
Phone
(214) 520-7575
NPI assigned
Nov 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X AP139656 TX Primary

Addresses

Primary practice location

3417 Gaston Ave Ste 815
Dallas, TX 75246-2034

Mailing address

3417 Gaston Ave Ste 815
Dallas, TX 75246-2034
Phone (214) 520-7575

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
I20250923002454 TX Practitioner - Nurse Practitioner 1759886682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1230 River Bend Dr
Suite 105
Dallas, TX 75247-4916

4055 International PLZ
Suite 605
Fort Worth, TX 76109-4891

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP139656TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Appraise Health Clinic, PLLC Single Specialty CurrentSince Jul 28, 2025 Accepting new patients
Mindful Balance PLLC Single Specialty CurrentSince Jul 28, 2025 Accepting new patients
Texas Family Psychology Associates, PC Single Specialty PastSince Sep 16, 2025 Accepting new patients
Barry J Fenton M.D., P.a. Single Specialty PastSince Oct 1, 1994 Accepting new patients

Locations

1230 River Bend Dr
Ste 105
Dallas, TX 75247
Phone (972) 559-8003

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1114495983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 GASTON AVE STE 815",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462034",
            "telephone_number": "214-520-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 GASTON AVE STE 815",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462034",
            "telephone_number": "214-520-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUMEZI",
        "first_name": "NWAMAKA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP139656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.