Active NPI
Stella Nkechinyem Okonkwo
- Psychiatric/Mental Health Nurse Practitioner
- Butner, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5016097
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHG Xxxvii, LLC | Current | Accepting new patients | |
| BHG Xxxvi, LLC | Current | Accepting new patients | |
| Star of Hope Healing, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| BHG Lxxxi, LLC | Current | Accepting new patients | |
| BHG Lxxxi, LLC | Current | 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Asheville, NC
- NPI 1629476627
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Clyde, NC
- NPI 1689072688
-
- Psychiatric/Mental Health Nurse Practitioner
- Wake Forest, NC
- NPI 1578379921
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Ahoskie, NC
- NPI 1639884703
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Asheville, NC
- NPI 1841900842
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.