Active NPI
Lynda Jifon Agbasi, DNP, PMHNP, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
National Provider Identifier
1225695133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP141658
- Practice address
- 5473 Blair Rd PMB 145244
Ste 100
Dallas, TX 75231-4227 - Phone
- (214) 233-6069
- Fax
- (210) 352-9661
- NPI assigned
- May 26, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP141658 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP141658 | TX | Primary |
Addresses
Primary practice location
5473 Blair Rd PMB 145244
Ste 100
Dallas, TX 75231-4227
Mailing address
5473 Blair Rd PMB 145244
Ste 100
Dallas, TX 75231-4227
Phone (214) 233-6069
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
47 High St
Suite 7
Medford, MA 02155-4676
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP141658 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1225695133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5473 BLAIR RD PMB 145244",
"address_2": "STE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314227",
"telephone_number": "214-233-6069",
"fax_number": "210-352-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5473 BLAIR RD PMB 145244",
"address_2": "STE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314227",
"telephone_number": "214-233-6069",
"fax_number": "210-352-9661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGBASI",
"first_name": "LYNDA",
"middle_name": "JIFON",
"name_prefix": "Mrs.",
"credential": "DNP, PMHNP, FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-26",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP141658",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP141658",
"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 Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.