Ukanti Healthcare Services PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

UKANTI HEALTHCARE SERVICES PLLC

Practice address

2933 Park Plaza LN
Port Arthur, TX 77642-5516

Phone

(409) 234-9888

NPI assigned

Jun 11, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Nkem Nwaobi, DNP, FNP-C, PMNHP-BCNPI 1659897130

Title

Owner

Phone

(409) 234-9888

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nkem Agatha Nwaobi, DNP, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaumont, TX
  • NPI 1659897130

  Psychiatric/Mental Health, TX

  Medicare reassignment NPD Authorized official
• Connie Denise Johnson-Wiltz, FNP-BC

  • Family Nurse Practitioner
  • Port Arthur, TX
  • NPI 1306354261
  NPD
• Tracie Dalene Updike, M.D.

  • Family Medicine Physician
  • Port Arthur, TX
  • NPI 1629070750
  NPD (past)

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730505600000",
    "number": "1114769023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6960 RENO CIR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777083593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 PARK PLAZA LN",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776425516",
            "telephone_number": "409-234-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UKANTI HEALTHCARE SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A",
        "authorized_official_last_name": "NWAOBI",
        "authorized_official_first_name": "NKEM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-234-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, FNP-C, PMNHP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinity Hearing and Balance Centers of Texas, LLC
• Cam Van Thi Truong, M.S. SLP
• Shameka Turner, LCSW
• Twin City Dental, PA
• Tyler County Hospital District
• Landry Kalombo Umbu, MD
• Connie Ung, O.D.
• Tracie Dalene Updike, M.D.
• Ifeoma Uwagboe, RPH
• Mohamed Dawood Vadva, MD

• All providers in Port Arthur, TX
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.