Active NPI
Uchechi Millicent Okoro, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
National Provider Identifier
1205498524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP141990
- Practice address
- 315 Sunset Ave
Dallas, TX 75208-4606 - Phone
- (214) 941-3500
- NPI assigned
- Jul 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP141990 | TX | Primary |
Addresses
Primary practice location
315 Sunset Ave
Dallas, TX 75208-4606
Mailing address
3303 York Dr
Mansfield, TX 76063-4899
Phone (817) 262-0371
Other practice location 1
3303 York Dr
Mansfield, TX 76063-4899
Phone (817) 262-0371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP141990 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homeward Bound, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Dallas, TX
- NPI 1235448218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1205498524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 YORK DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760634899",
"telephone_number": "817-262-0371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 SUNSET AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752084606",
"telephone_number": "214-941-3500"
}
],
"practiceLocations": [
{
"address_1": "3303 York Dr",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "TX",
"postal_code": "760634899",
"country_code": "US",
"telephone_number": "817-262-0371",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OKORO",
"first_name": "UCHECHI",
"middle_name": "MILLICENT",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-08",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP141990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.