Active NPI
Emmanuel Okechukwu Okoroafor
- Psychiatric/Mental Health Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1336638709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP137339
- Practice address
- 710 W Leuda St
Ft Worth, TX 76104-3114 - Phone
- (817) 702-5958
- NPI assigned
- May 1, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP137339 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP137339 | TX | Primary |
Addresses
Primary practice location
710 W Leuda St
Ft Worth, TX 76104-3114
Mailing address
5616 Worthing PL
Arlington, TX 76017-6576
Phone (817) 707-0093
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.38 of 100
- Quality
- 80.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP137339 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acclaim Physician Group, Inc | Current | Accepting new patients | |
| Access Telecare, PLLC | Current | Accepting new patients |
Locations
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
1412 May St
Ft Worth, TX 76104
Phone (817) 625-8818
710 W Leuda St
Ft Worth, TX 76104
Phone (817) 702-5958
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1336638709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5616 WORTHING PL",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760176576",
"telephone_number": "817-707-0093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 W LEUDA ST",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761043114",
"telephone_number": "817-702-5958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKOROAFOR",
"first_name": "EMMANUEL",
"middle_name": "OKECHUKWU",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-01",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP137339",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP137339",
"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 Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.