Individual provider Active NPI

Millicent Akinyi Oluoch

  • Primary Care Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1386230795
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1018114 Issued in TX
Practice address
2008 Windcastle Dr
Mansfield, TX 76063-5014
Phone
(214) 406-0147
NPI assigned
Dec 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X 1018114 TX Primary

Addresses

Primary practice location

2008 Windcastle Dr
Mansfield, TX 76063-5014

Mailing address

2008 Windcastle Dr
Mansfield, TX 76063-5014
Phone (214) 406-0147

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
I20260601002400 TX Order and Referring Only - Nurse Practitioner 2567849540

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chot Healthcare Providers Single Specialty CurrentSince Apr 1, 2025 Accepting new patients
Texas Health Physicians Group Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Texas Health Physicians Group CurrentSince Jan 1, 2024 Accepting new patients
Texas Health Physicians Group Single Specialty Current Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

9250 Amberton Pkwy
Dallas, TX 75243
Phone (214) 860-6300

6100 Western Pl
Ste 105
Ft Worth, TX 76107
Phone (817) 870-2795

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Organizations & group practices 4

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": "1608336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1386230795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 WINDCASTLE DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635014",
            "telephone_number": "214-406-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 WINDCASTLE DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635014",
            "telephone_number": "214-406-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUOCH",
        "first_name": "MILLICENT",
        "middle_name": "AKINYI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-19",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1018114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.