Individual provider Active NPI

Justina Nweke, NP-C

  • Family Nurse Practitioner
  • Carrollton, TX
National Provider Identifier
1164582714
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1106068 Issued in TX
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

Updated by the provider on Feb 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
188957801MedicaidTX
8Y1128OtherTXBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070808000372 TX Practitioner - Nurse Practitioner 1254422025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F1106068TXMDFamily 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

Verify at the official NPI Registry.