Individual provider Active NPI

Ugonna Rose Okafor

  • Psychiatric/Mental Health Nurse Practitioner
  • Lewisville, TX
National Provider Identifier
1154045789
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1075246 Issued in TX
Practice address
405 State Highway 121 Byp Ste A250
Lewisville, TX 75067-4183
Phone
(214) 253-4007
Fax
(214) 253-4007
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61358770 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 283038 AZ
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 1075246 TX Primary

Addresses

Primary practice location

405 State Highway 121 Byp Ste A250
Lewisville, TX 75067-4183

Mailing address

405 State Highway 121 Byp Ste A250
Lewisville, TX 75067-4183
Phone (214) 253-4007

Other practice location 1

11335 NE 122nd Way Ste 105
Kirkland, WA 98034-6933
Phone (425) 728-2859

Other practice location 2

1525 S Higley Rd Ste 104
Gilbert, AZ 85296-5045
Phone (214) 253-4007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230222002520 TX Practitioner - Nurse Practitioner 8921471970 Reassigns benefits to 1 organization
I20230227002672 WA Practitioner - Nurse Practitioner 8921471970 Reassigns benefits to 1 organization
I20251114000426 OR Practitioner - Nurse Practitioner 8921471970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11335 NE 122ND Way
Suite 105
Kirkland, WA 98034-6933
Phone (214) 253-4007

405 State Hwy 121 Byp
Suite A250
Lewisville, TX 75067-4183
Phone (214) 253-4007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
283038AZMDPsychiatric/Mental Health Nurse Practitioner
1075246TXMDPsychiatric/Mental Health Nurse Practitioner
AP61358770WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kekam Psychiatry Services Single Specialty CurrentSince Nov 2, 2022 Accepting new patients
Exult Healthcare Solutions, LLC Single Specialty PastSince Oct 1, 2022 Accepting new patients
Deepika Bhargava, M.D., P.a. Single Specialty PastSince Aug 1, 2025 Accepting new patients

Locations

1525 S Higley Rd
Ste 104
Gilbert, AZ 85296
Phone (480) 640-4908

1500 NW Bethany Blvd
Ste 200
Hillsboro, OR 97006
Phone (503) 708-0523

405 State Highway 121 Byp
Ste A250
Lewisville, TX 75067
Phone (940) 784-3310

1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005

11335 NE 122nd Way
Ste 105
Kirkland, WA 98034
Phone (206) 899-5479

Organizations & group practices 3

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": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1154045789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 STATE HIGHWAY 121 BYP STE A250",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674183",
            "telephone_number": "214-253-4007",
            "fax_number": "214-253-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 STATE HIGHWAY 121 BYP STE A250",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674183",
            "telephone_number": "214-253-4007",
            "fax_number": "214-253-4007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11335 NE 122nd Way Ste 105",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980346933",
            "country_code": "US",
            "telephone_number": "425-728-2859",
            "fax_number": "214-617-0332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 S Higley Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852965045",
            "country_code": "US",
            "telephone_number": "214-253-4007",
            "fax_number": "214-617-0332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKAFOR",
        "first_name": "UGONNA",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61358770",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "283038",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1075246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.