Individual provider Active NPI

Stella Nkechinyem Okonkwo

  • Psychiatric/Mental Health Nurse Practitioner
  • Butner, NC
National Provider Identifier
1154072155
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5016097 Issued in NC
Practice address
300 Veazey Dr
Butner, NC 27509-1668
Phone
(919) 764-2000
NPI assigned
Jan 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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 Practitioner 363LP0808X 5016097 NC Primary

Addresses

Primary practice location

300 Veazey Dr
Butner, NC 27509-1668

Mailing address

1229 Stonemill Falls Dr
Wake Forest, NC 27587-9333
Phone (191) 988-0040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221130003415 NC Practitioner - Nurse Practitioner 3476921164 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BHG Xxxvii, LLC CurrentSince Aug 18, 2022 Accepting new patients
BHG Xxxvi, LLC CurrentSince Aug 18, 2022 Accepting new patients
Star of Hope Healing, PLLC Psychiatric/Mental Health CurrentSince Dec 15, 2024 Accepting new patients
BHG Lxxxi, LLC CurrentSince Jul 22, 2023 Accepting new patients
BHG Lxxxi, LLC CurrentSince Jul 22, 2023 Accepting new patients

Locations

312 Academy St S
Ste D
Ahoskie, NC 27910
Phone (252) 332-3548

18 Wedgefield Dr
Asheville, NC 28806
Phone (828) 252-8748

414 Hospital Dr
Clyde, NC 28721
Phone (828) 452-1406

5001 Spring Vly
Ste 600E
Dallas, TX 75244

5001 Spring Valley Rd
Ste 600
Dallas, TX 75244

Organizations & group practices 5

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": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1154072155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 STONEMILL FALLS DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879333",
            "telephone_number": "191-988-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 VEAZEY DR",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "275091668",
            "telephone_number": "919-764-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONKWO",
        "first_name": "STELLA",
        "middle_name": "NKECHINYEM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5016097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butner, NC

Sources for this page

Verify at the official NPI Registry.