Ikechukwu Henry Okolocha, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP135695 Issued in TX

Practice address

783 N Denton Tap Rd Ste 150
Coppell, TX 75019-2129

Phone

(469) 289-2660

Fax

(469) 324-4230

NPI assigned

Oct 23, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Star Dermatology PLLC

  • Dermatology Physician
  • Coppell, TX
  • NPI 1750077889

  Nurse Practitioner

  Medicare reassignment NPD Authorized official
• Oliver Street 5.01(a) Inc.

  • Dermatology Physician
  • Dallas, TX
  • NPI 1457695413
  Medicare reassignment NPD
• Dermatology Associates

  • Dermatology Physician
  • Houston, TX
  • NPI 1356523039
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1275044851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 N DENTON TAP RD STE 150",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192129",
            "telephone_number": "469-289-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 N DENTON TAP RD STE 150",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192129",
            "telephone_number": "469-289-2660",
            "fax_number": "469-324-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKOLOCHA",
        "first_name": "IKECHUKWU",
        "middle_name": "HENRY",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-23",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP135695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Nunez, OT
• Charles J O'Hearn, M.D.
• Elizabeth E Ocean, LPC
• Folashade Oduleye
• Stephanie Okeke, APRN
• Peter Benedict Crujido Olario
• Kayode Olatunji, NP
• Old Town Family Practice PA
• Marybeth Oliva, OTR/L
• Valerie Leanett Olivero Belcher

• Nurse Practitioner in Coppell, TX
• Providers in Coppell, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.

Verify at the official NPI Registry.