Ndifreke Itata

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP135734 Issued in TX

Practice address

2412 Old North Rd Ste 101K
Denton, TX 76209-1524

Phone

(940) 566-4999

NPI assigned

Oct 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Premier Golden Heart Health Care Services LLC

  • Home Health Agency
  • Denton, TX
  • NPI 1033279252

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership

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.

• Denton Family Clinic PLLC

  • Family Nurse Practitioner
  • Denton, TX
  • NPI 1841082666
  Medicare reassignment NPD Authorized official
• HP Health & Wellness PLLC

  • Family Medicine Physician
  • Arlington, TX
  • NPI 1578952800
  NPD
• Premier Golden Heart Health Care Services LLC

  • Home Health Agency
  • Denton, TX
  • NPI 1033279252
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1174033286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 OLD NORTH RD STE 101K",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762091524",
            "telephone_number": "940-566-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 OLD NORTH RD STE 101K",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762091524",
            "telephone_number": "940-566-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ITATA",
        "first_name": "NDIFREKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irongate Behavioral Health LLC
• Delia Isaac, LMFT-ASSOCIATE
• Semhar Isaak Tsegai, FNP
• Kateryna Iskiv, N.P.
• Krista K Isom, PT
• Sarah Iversen
• Sridhar Krishnamurthy Iyer, MD
• J a Coffey Jr M D PA
• J. CLB Counseling
• Jack Jones Hearing Aid Centers, Inc

• Family Nurse Practitioner in Denton, TX
• Providers in Denton, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.