Individual provider Active NPI

Blessing Cordilia Egede

  • Psychiatric/Mental Health Nurse Practitioner
  • Duncanville, TX
National Provider Identifier
1245874676
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP142979 Issued in TX
Practice address
150 E Hwy 67 Suite 180
Duncanville, TX 75137
Phone
(214) 443-9404
NPI assigned
Oct 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 821680 TX
Family Nurse Practitioner 363LF0000X AP142979 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP142979 TX Primary

Addresses

Primary practice location

150 E Hwy 67 Suite 180
Duncanville, TX 75137

Mailing address

150 E Hwy 67 Suite 180
Duncanville, TX 75137
Phone (214) 443-9404

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
I20210825000482 TX Practitioner - Nurse Practitioner 8325443690 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
821680TXMDGeneral Practice Registered Nurse
AP142979TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Aug 1, 2021 Accepting new patients
Agape Internal Medicine, PC CurrentSince Feb 1, 2022 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jan 14, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince Aug 1, 2021 Accepting new patients
Vpa of Texas PLLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

217 N Ridgeway Dr
Ste 200
Cleburne, TX 76033
Phone (817) 556-0201

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

6080 S Hulen St
Ste 360
Ft Worth, TX 76132
Phone (817) 908-1218

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Interoperability endpoints

  • Direct secure messaging: begede@landmarkhealth-direct.org

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": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1245874676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E HWY 67 SUITE 180",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "75137",
            "telephone_number": "214-443-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E HWY 67 SUITE 180",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "75137",
            "telephone_number": "214-443-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGEDE",
        "first_name": "BLESSING",
        "middle_name": "CORDILIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TX",
            "license": "821680",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142979",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP142979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

Verify at the official NPI Registry.