Active NPI
Anne Nyamagu Kingori, N.P.
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 212569
- Practice address
- 17430 Campbell Rd Ste 100
Dallas, TX 75252-5297 - Phone
- (972) 250-6450
- Fax
- (972) 330-2353
- NPI assigned
- Apr 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1113212 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 212569 | OK | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61580402. | WA |
Addresses
Primary practice location
17430 Campbell Rd Ste 100
Dallas, TX 75252-5297
Mailing address
17430 Campbell Rd Ste 100
Dallas, TX 75252-5297
Phone (972) 250-6450
Other practice location 1
530 N Monte Vista St
Ada, OK 74820-4675
Phone (580) 453-3230
Other practice location 2
100 N Howard St Ste R
Spokane, WA 99201-0508
Phone (214) 971-0069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2021 Guadalupe St
Suite 260
Austin, TX 78705-5654
Phone (866) 630-0966
2307 Switchgrass St
Melissa, TX 75454-2733
Phone (580) 421-2733
530 N Monte Vista a
Mercy Clinic Primary Care Ada Monte Vista
Ada, OK 74820-4675
Phone (580) 310-9510
6505 216TH St SW
Suite 100
Mountlake Terrace, WA 98043-2089
Phone (425) 640-7009
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Therapy Group PC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
14405 SE 36th St
Ste 300
Bellevue, WA 98006
Phone (425) 215-3633
6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463
21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698
320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113
201 W North River Dr
Ste 301
Spokane, WA 99201
Phone (509) 496-0724
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.
-
dba Mindful Therapy Group
- Clinical Social Worker
- Mountlake Terrace, WA
- NPI 1316238678
Psychiatric/Mental Health
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Duncan, OK
- NPI 1851396394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1376230128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17430 CAMPBELL RD STE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752525297",
"telephone_number": "972-250-6450",
"fax_number": "972-330-2353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17430 CAMPBELL RD STE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752525297",
"telephone_number": "972-250-6450",
"fax_number": "972-330-2353"
}
],
"practiceLocations": [
{
"address_1": "530 N Monte Vista St",
"address_purpose": "LOCATION",
"city": "Ada",
"state": "OK",
"postal_code": "748204675",
"country_code": "US",
"telephone_number": "580-453-3230",
"fax_number": "580-453-3231",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 N Howard St Ste R",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992010508",
"country_code": "US",
"telephone_number": "214-971-0069",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINGORI",
"first_name": "ANNE",
"middle_name": "NYAMAGU",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-21",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1113212",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OK",
"license": "212569",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61580402.",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.