Individual provider Active NPI

Uchenna Lorreta Nwedo

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1336676980
Registry record updated May 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133978 Issued in TX
Practice address
801 W Park Row Dr
Arlington, TX 76013-3904
Phone
(817) 784-7888
NPI assigned
May 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2017

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 AP133978 TX Primary

Addresses

Primary practice location

801 W Park Row Dr
Arlington, TX 76013-3904

Mailing address

3037 Meadowbrook Dr
Grand Prairie, TX 75052-7548

Other identifiers 1

IdentifierTypeStateIssuer
AP133978OtherTXAPRN LICENSE NO

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
I20200122000587 TX Practitioner - Nurse Practitioner 9830524826 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP133978TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Odette Louise Campbell MD PA CurrentSince Dec 5, 2019 Accepting new patients

Locations

5072 W Plano Pkwy
Ste 220
Plano, TX 75093
Phone (469) 671-0900

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": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1336676980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 MEADOWBROOK DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W PARK ROW DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760133904",
            "telephone_number": "817-784-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWEDO",
        "first_name": "UCHENNA",
        "middle_name": "LORRETA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN  LICENSE NO",
            "identifier": "AP133978",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.