Individual provider Active NPI

Edima Mary Opara

  • Family Nurse Practitioner
  • Denton, TX
National Provider Identifier
1174260251
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1074004 Issued in TX
Practice address
225 W Mulberry St
Denton, TX 76201-6011
Phone
(214) 714-1394
NPI assigned
May 19, 2022
Last updated
May 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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 1074004 TX Primary

Addresses

Primary practice location

225 W Mulberry St
Denton, TX 76201-6011

Mailing address

225 W Mulberry St
Denton, TX 76201-6011
Phone (214) 714-1394

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
I20220913001698 TX Practitioner - Nurse Practitioner 8022493907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1074004TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Medical PC CurrentSince Jun 2, 2022 Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

15015 Cypress Wood Medical Dr
Houston, TX 77014
Phone (281) 301-1149

411 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7668

424 Tarpey Rd
Texas City, TX 77591
Phone (409) 938-8431

8001 Western Hills Blvd
Wht Settlemt, TX 76108
Phone (817) 246-4953

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1174260251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 W MULBERRY ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762016011",
            "telephone_number": "214-714-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 W MULBERRY ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762016011",
            "telephone_number": "214-714-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPARA",
        "first_name": "EDIMA",
        "middle_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1074004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.