Individual provider Active NPI

Irene Okoronkwo, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1174879332
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP122083 Issued in TX
Practice address
5757 Woodway Dr
Houston, TX 77057-1514
Phone
(832) 778-6750
NPI assigned
Jul 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 745507 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP122083 TX Primary

Addresses

Primary practice location

5757 Woodway Dr
Houston, TX 77057-1514

Mailing address

350 El Molino Blvd
Las Cruces, NM 88005-2915

Other practice location 1

900 Lovett Blvd
Houston, TX 77006-3908
Phone (713) 518-1031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121011000911 TX Practitioner - Nurse Practitioner 8224287925 Reassigns benefits to 2 organizations
I20210204000275 NM Practitioner - Nurse Practitioner 8224287925 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
745507TXMDFamily Nurse Practitioner
AP122083TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Telecare Inc CurrentSince May 31, 2025 Accepting new patients
Nazimuddin Mohammed MD PA CurrentSince Feb 5, 2019 Accepting new patients
Forefront-Rush Medical Service PA CurrentSince May 31, 2025 Accepting new patients
BHC Mesilla Valley Hospital LLC CurrentSince Apr 24, 2022 Accepting new patients

Locations

3571 Del Rey Blvd
Mesillia Vly Hosp
Las Cruces, NM 88012
Phone (575) 373-5043

3751 Del Rey Blvd
Las Cruces, NM 88012
Phone (505) 382-3500

1012 Marquez Pl
Unit 106B
Santa Fe, NM 87505
Phone (505) 470-8132

1901 Medi Park Dr
Ste 219
Amarillo, TX 79106
Phone (806) 356-7744

1901 Medi Park Dr
Ste 2058
Amarillo, TX 79106
Phone (806) 354-9540

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

11500 State Highway 121
Ste 930
Frisco, TX 75035
Phone (469) 200-4083

11500 State Highway 121
Ste 93
Frisco, TX 75035
Phone (469) 200-4093

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1174879332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 EL MOLINO BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WOODWAY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770571514",
            "telephone_number": "832-778-6750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Lovett Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770063908",
            "country_code": "US",
            "telephone_number": "713-518-1031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKORONKWO",
        "first_name": "IRENE",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "745507",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP122083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.