Individual provider Active NPI

Chizoba Gerald Okafor

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Prairie, TX
National Provider Identifier
1316618929
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1035831 Issued in TX
Practice address
1106 N Hwy 360 Ste 220
Grand Prairie, TX 75050-2511
Phone
(817) 983-8017
NPI assigned
Sep 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1035831 TX Primary

Addresses

Primary practice location

1106 N Hwy 360 Ste 220
Grand Prairie, TX 75050-2511

Mailing address

1106 N Hwy 360 Ste 220
Grand Prairie, TX 75050-2511
Phone (817) 983-8017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1035831TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Livingwell Home Health Agency Inc. CurrentSince Sep 28, 2021 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 25, 2022 Accepting new patients
Livingwell Labs Inc. Current Accepting new patients

Locations

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

912 Wright St
Ste A
Arlington, TX 76012
Phone (817) 548-0625

1106 N State Highway 360
Ste 220
Grand Prairie, TX 75050
Phone (682) 321-7002

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

Organizations & group practices 3

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": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1316618929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 N HWY 360 STE 220",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750502511",
            "telephone_number": "817-983-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 N HWY 360 STE 220",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750502511",
            "telephone_number": "817-983-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKAFOR",
        "first_name": "CHIZOBA",
        "middle_name": "GERALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1035831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.