Individual provider Active NPI

Dorothy Ndondi, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Irving, TX
National Provider Identifier
1326742487
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1099947 Issued in TX
Practice address
2912 N Macarthur Blvd Ste 106
Irving, TX 75062-4489
Phone
(214) 489-5722
NPI assigned
Mar 30, 2023
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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 1099947 TX Primary

Addresses

Primary practice location

2912 N Macarthur Blvd Ste 106
Irving, TX 75062-4489

Mailing address

2912 N Macarthur Blvd Ste 106
Irving, TX 75062-4489

Other practice location 1

11500 State Highway 121 Ste 510
Frisco, TX 75035-9348
Phone (469) 200-4093

Other identifiers 1

IdentifierTypeStateIssuer
1099947OtherTXAPRN

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
I20230921000784 TX Practitioner - Nurse Practitioner 6305290685 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1099947TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Solidify Solution LLC CurrentSince Dec 29, 2024 Accepting new patients
Nazimuddin Mohammed MD PA CurrentSince Sep 1, 2023 Accepting new patients

Locations

1201 N Watson Rd
Ste 106
Arlington, TX 76006
Phone (214) 489-5722

11500 State Highway 121
Ste 510
Frisco, TX 75035
Phone (469) 200-4093

11500 State Highway 121
Ste 93
Frisco, TX 75035
Phone (469) 200-4093

11500 State Highway 121
Ste 930
Frisco, TX 75035
Phone (469) 200-4083

2912 N MacArthur Blvd
Ste 106
Irving, TX 75062
Phone (214) 489-5722

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1326742487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 N MACARTHUR BLVD STE 106",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 N MACARTHUR BLVD STE 106",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624489",
            "telephone_number": "214-489-5722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11500 State Highway 121 Ste 510",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750359348",
            "country_code": "US",
            "telephone_number": "469-200-4093",
            "fax_number": "469-200-4079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDONDI",
        "first_name": "DOROTHY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1099947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "1099947",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.