Active NPI
Dianne Mbai, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
National Provider Identifier
1306268453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 768674
- Practice address
- 4101 McEwen Rd Ste 410
Dallas, TX 75244-5217 - Phone
- (817) 350-4377
- Fax
- (817) 753-3216
- NPI assigned
- Jan 8, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 768674 | TX | Primary |
Addresses
Primary practice location
4101 McEwen Rd Ste 410
Dallas, TX 75244-5217
Mailing address
4101 McEwen Rd Ste 410
Dallas, TX 75244-5217
Phone (817) 350-4377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2023 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622419200000",
"number": "1306268453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 MCEWEN RD STE 410",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445217",
"telephone_number": "817-350-4377",
"fax_number": "817-753-3216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 MCEWEN RD STE 410",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445217",
"telephone_number": "817-350-4377",
"fax_number": "817-753-3216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBAI",
"first_name": "DIANNE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-08",
"last_updated": "2021-05-31",
"certification_date": "2021-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "768674",
"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 May 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.