Individual provider Active NPI

Immaculata Eme Inyang, FNP

  • Family Nurse Practitioner
  • Grand Prairie, TX
National Provider Identifier
1245504588
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP121135 Issued in TX
Practice address
2747 Scarborough Dr
Grand Prairie, TX 75052-4270
Phone
(903) 449-8303
NPI assigned
Mar 5, 2012
Last updated
Dec 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP121135 TX Primary

Addresses

Primary practice location

2747 Scarborough Dr
Grand Prairie, TX 75052-4270

Mailing address

2747 Scarborough Dr
Grand Prairie, TX 75052-4270
Phone (903) 449-8303

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
I20120424000665 TX Practitioner - Nurse Practitioner 8022270883 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Home Visiting Doctors PLLC CurrentSince Jan 18, 2018 Accepting new patients
Effiok Ekpenyong, M.D. PLLC CurrentSince Mar 1, 2017 Accepting new patients
Ichs Medical PLLC Family CurrentSince Jan 1, 2023 Accepting new patients
Potters House Family Clinic LLC Family CurrentSince Nov 26, 2012 Accepting new patients
Preferred Mobile Wound Solutions LLC CurrentSince May 7, 2024 Accepting new patients
Global Open Wound Care Services LLC Family PastSince Jan 26, 2025 Accepting new patients

Locations

602 Magic Mile St
Ste 4
Arlington, TX 76011
Phone (469) 644-6727

7125 Marvin D Love Fwy
Ste 207
Dallas, TX 75237
Phone (214) 607-3650

2735 Villa Creek Dr
Ste A143
Farmers Branch, TX 75234
Phone (972) 677-7964

Organizations & group practices 6

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": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766188800000",
    "number": "1245504588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2747 SCARBOROUGH DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750524270",
            "telephone_number": "903-449-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 SCARBOROUGH DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750524270",
            "telephone_number": "903-449-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INYANG",
        "first_name": "IMMACULATA",
        "middle_name": "EME",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP121135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.