Individual provider Active NPI

Riccarda Njoki Mathenge, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1245710698
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP138035 Issued in TX
Practice address
5616 Grove Cove Dr
McKinney, TX 75071-8333
Phone
(214) 636-9905
NPI assigned
Aug 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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 AP138035 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP138035 TX Primary

Addresses

Primary practice location

5616 Grove Cove Dr
McKinney, TX 75071-8333

Mailing address

5616 Grove Cove Dr
McKinney, TX 75071-8333
Phone (214) 636-9905

Other identifiers 1

IdentifierTypeStateIssuer
AP138035OtherTXAANP

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
I20181128002959 TX Practitioner - Nurse Practitioner 8224372420 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP138035TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Hospital Medicine Associates, PA CurrentSince Jan 16, 2024 Accepting new patients
US Televero Health PA Psychiatric/Mental Health CurrentSince Jan 3, 2025 Accepting new patients
MCR Mind and Body Wellness LLC Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Goto Lab Express Texas LLC Past Accepting new patients
Ayo Healthcare Clinic Past Accepting new patients

Locations

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

6101 W Courtyard Dr
Ste 2-225
Austin, TX 78730
Phone (877) 474-0155

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

224 W Pleasant Run Rd
Cedar Hill, TX 75104
Phone (972) 291-5977

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

413 Garland Dr
Lake Jackson, TX 77566
Phone (979) 297-3266

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-0687

2620 Communications Pkwy
Plano, TX 75093
Phone (214) 501-4672

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

6211 S New Braunfels Ave
#T
San Antonio, TX 78223
Phone (210) 531-0569

424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431

Organizations & group practices 5

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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1245710698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5616 GROVE COVE DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750718333",
            "telephone_number": "214-636-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5616 GROVE COVE DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750718333",
            "telephone_number": "214-636-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHENGE",
        "first_name": "RICCARDA",
        "middle_name": "NJOKI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138035",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP138035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP",
            "identifier": "AP138035",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.