Organization Active NPI

Peak Life Wellness Healthcare PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1306667639
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PEAK LIFE WELLNESS HEALTHCARE PLLC
Practice address
6850 Manhattan Blvd Ste 300-27
Fort Worth, TX 76120-1227
Phone
(469) 461-4787
Fax
(214) 594-8642
NPI assigned
Oct 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Dr. Prisca Chioma Ughanze, FNP/PMHNPNPI 1427400571
Title
Owner
Phone
(817) 908-7822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

6850 Manhattan Blvd Ste 300-27
Fort Worth, TX 76120-1227

Mailing address

6850 Manhattan Blvd Ste 300-27
Fort Worth, TX 76120-1227
Phone (469) 461-4787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260417000864 TX Part B Supplier - Clinic/Group Practice 0749756682 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington, TX

National Provider Directory

National Provider Directory

Locations

6850 Manhattan Blvd
Ste 30027
Fort Worth, TX 76120

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1306667639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 MANHATTAN BLVD STE 300-27",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761201227",
            "telephone_number": "469-461-4787",
            "fax_number": "214-594-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 MANHATTAN BLVD STE 300-27",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761201227",
            "telephone_number": "469-461-4787",
            "fax_number": "214-594-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK LIFE WELLNESS HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-19",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "UGHANZE",
        "authorized_official_first_name": "PRISCA",
        "authorized_official_middle_name": "CHIOMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-908-7822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FNP/PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.