Augustina Oluchi Ogbonna, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1078108 Issued in TX

Practice address

407 N Cedar Ridge Dr Ste 325
Duncanville, TX 75116-3170

Phone

(214) 315-3999

NPI assigned

Jun 28, 2022

Last updated

Jun 28, 2022By the provider in NPPES

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Texas Occupational Medical ServicesGroup PAC ID 4284019332, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

Practice roles

Locations

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Three Star Home Health Agency Inc

  • Home Health Agency
  • Duncanville, TX
  • NPI 1598806903

  W-2 Managing Employee

  CMS ownership

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.

• Texas Occupational Medical Services

  • Occupational Medicine Physician
  • Irving, TX
  • NPI 1073250650

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• MC Star Plus Home Health Care

  • Nursing Care Agency
  • Cedar Hill, TX
  • NPI 1821355272
  NPD Authorized official
• Three Star Home Health Agency Inc.

  dba Three Star Home Health Inc.

  • Home Health Agency
  • Duncanville, TX
  • NPI 1598537961
  Authorized official Same address or phone
• Three Star Home Health Agency Inc

  • Home Health Agency
  • Duncanville, TX
  • NPI 1598806903
  NPD
• CC. Mercy Care Home Health Services Inc.

  • Home Health Agency
  • Garland, TX
  • NPI 1063692788
  NPD (past)

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1114659117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N CEDAR RIDGE DR STE 325",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163170",
            "telephone_number": "214-315-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N CEDAR RIDGE DR STE 325",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163170",
            "telephone_number": "214-315-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGBONNA",
        "first_name": "AUGUSTINA",
        "middle_name": "OLUCHI",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1078108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Obaze, LPC, LCDC
• Brenda Joyce Obrien, LOTA
• Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
• Tiffany Marie Odgers
• Ethelbert Onuefi Odo, NP-C
• Ifeoma Tamara Ogbonna, M.D.
• Kenneth Ogbonna, PMHNP-BC
• Latoya Nicole Ogidan, LCSW
• Ohana Ministries, Inc
• Stanley Okeke, DPT

• Psychiatric/Mental Health Nurse Practitioner in Duncanville, TX
• Providers in Duncanville, 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 Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.