Individual provider Active NPI

Elizabeth Umemba

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1184276503
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
135049 Issued in OK
Practice address
539 W Commerce St Ste 8343
Dallas, TX 75208-1953
Phone
(469) 328-3904
NPI assigned
Jul 15, 2019
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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 M0135049 OK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 135049 OK Primary

Addresses

Primary practice location

539 W Commerce St Ste 8343
Dallas, TX 75208-1953

Mailing address

3090 Outlet Pkwy Apt 220
Grand Prairie, TX 75052-7242
Phone (469) 328-3904

Other names 1

  • Elizabeth Ogbonna Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KY, TX, WV, WI5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20201217000720 OK Practitioner - Nurse Practitioner 6800208760 Reassigns benefits to 3 organizations
I20220712003010 KY Practitioner - Nurse Practitioner 6800208760 Reassigns benefits to 3 organizations
I20230913002401 TX Practitioner - Nurse Practitioner 6800208760 Reassigns benefits to 2 organizations
I20231223000014 WV Practitioner - Nurse Practitioner 6800208760 Reassigns benefits to 3 organizations
I20250227003805 WI Practitioner - Nurse Practitioner 6800208760

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forefront Telecare Medical Services PCGroup PAC ID 0446668826, 13 clinicians
Panhandle Counseling and Health Center, Inc.Group PAC ID 8123324613, shared by 2 NPIs, 5 clinicians

Practice addresses (Care Compare)

128 Capitol St
Charleston, WV 25301-2610
Phone (866) 959-2008

1309 N E St
Guymon, OK 73942-3333
Phone (580) 338-4638

1333 Southview Dr
Bluefield, WV 24701-4317
Phone (972) 449-0540

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
135049OKMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC CurrentSince Mar 4, 2025 Accepting new patients
Forefront-Rush Medical Service PA CurrentSince Dec 21, 2020 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Jan 6, 2024 Accepting new patients
Forefront Telecare Inc CurrentSince Jun 28, 2022 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Jan 6, 2024 Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Apr 20, 2023 Accepting new patients
Forefront Telecare Medical Services PC CurrentSince Sep 29, 2023 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Apr 20, 2023 Accepting new patients
Appalachian Regional Healthcare, Inc Family Current Accepting new patients
Panhandle Counseling & Health Center Inc CurrentSince May 19, 2024 Accepting new patients
Ap US 14, PA PastSince Oct 15, 2023 Accepting new patients

Locations

181 Roy Campbell Dr
Hazard, KY 41701
Phone (606) 439-1316

200 Medical Dr
Hazard, KY 41701
Phone (606) 439-6782

828 Lane Allen Rd
Ste 219
Lexington, KY 40504
Phone (317) 782-1577

15205 Traditions Lake Pkwy
Edmond, OK 73013
Phone (339) 499-9518

1309 N East St
Guymon, OK 73942
Phone (580) 338-4638

3247 US Highway 54
Guymon, OK 73942
Phone (580) 338-0072

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

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

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

539 W Commerce St
Dallas, TX 75208
Phone (385) 377-9352

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

1333 Southview Dr
Bluefield, WV 24701
Phone (304) 327-2900

128 Capitol St
Charleston, WV 25301
Phone (844) 932-5700

Interoperability endpoints

  • Direct secure messaging: elizabeth.umemba.1@24287.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BBIDAD/Endpoint/BBIDAD

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1184276503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 OUTLET PKWY APT 220",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527242",
            "telephone_number": "469-328-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 W COMMERCE ST STE 8343",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081953",
            "telephone_number": "469-328-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMEMBA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "M0135049",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "135049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "OGBONNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.