Active NPI
Justina Nweke, NP-C
- Family Nurse Practitioner
- Carrollton, TX
National Provider Identifier
1164582714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F1106068
- Practice address
- 2459 E Hebron Pkwy Ste 130
Carrollton, TX 75010-4477 - Phone
- (972) 239-8131
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F1106068 | TX | Primary |
Addresses
Primary practice location
2459 E Hebron Pkwy Ste 130
Carrollton, TX 75010-4477
Mailing address
2459 E Hebron Pkwy Ste 130
Carrollton, TX 75010-4477
Phone (972) 239-8131
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 188957801 | Medicaid | TX | |
| 8Y1128 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070808000372 | TX | Practitioner - Nurse Practitioner | 1254422025 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1106068 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1164582714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2459 E HEBRON PKWY STE 130",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104477",
"telephone_number": "972-239-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2459 E HEBRON PKWY STE 130",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104477",
"telephone_number": "972-239-8131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NWEKE",
"first_name": "JUSTINA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "F1106068",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "188957801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8Y1128",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.