Individual provider Active NPI

Linda Ngozi Imoh, APRN, FNP-BC

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1184088171
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130766 Issued in TX
Practice address
9304 Forest LN Ste S-125
Dallas, TX 75243-6238
Phone
(469) 577-4009
Fax
(469) 533-3732
NPI assigned
Apr 6, 2016
Last updated
Jan 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP130766 TX
Family Nurse Practitioner 363LF0000X AP130766 TX Primary

Addresses

Primary practice location

9304 Forest LN Ste S-125
Dallas, TX 75243-6238

Mailing address

1523 Summerside Dr
Allen, TX 75002-1829
Phone (469) 888-3328

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
I20160620002178 TX Practitioner - Nurse Practitioner 0547255275

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP130766TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adc Health Care Services Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: linda.imoh@hhp-tx.direct.office.nextgen.com

Organizations & group practices 2

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1184088171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 SUMMERSIDE DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750021829",
            "telephone_number": "469-888-3328",
            "fax_number": "469-533-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9304 FOREST LN STE S-125",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436238",
            "telephone_number": "469-577-4009",
            "fax_number": "469-533-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMOH",
        "first_name": "LINDA",
        "middle_name": "NGOZI",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-06",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP130766",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.