Individual provider Active NPI

Wanda McGee-Igiozee, DNP

  • Family Nurse Practitioner
  • Garland, TX
National Provider Identifier
1316523046
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1015656 Issued in TX
Practice address
5505 Broadway Blvd Ste B
Garland, TX 75043-3671
Phone
(214) 703-6527
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1015656 TX Primary

Addresses

Primary practice location

5505 Broadway Blvd Ste B
Garland, TX 75043-3671

Mailing address

912 Bryan St
Cottonport, LA 71327-4288
Phone (318) 220-1965

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
I20220627002138 TX Practitioner - Nurse Practitioner 4981083656 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1015656TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texoma Neurology Associates, PA CurrentSince Jun 7, 2022 Accepting new patients

Locations

475 Elm St
Ste 104
Lewisville, TX 75057
Phone 90389351414355

321 N Highland Ave
Ste 200
Sherman, TX 75092

Organizations & group practices 1

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": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1316523046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 BRYAN ST",
            "city": "COTTONPORT",
            "state": "LA",
            "postal_code": "713274288",
            "telephone_number": "318-220-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 BROADWAY BLVD STE B",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750433671",
            "telephone_number": "214-703-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGEE-IGIOZEE",
        "first_name": "WANDA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1015656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.