Kimberly Nneka Onwubuya, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP142883 Issued in TX

Practice address

99 Regency Pkwy Ste 113
Mansfield, TX 76063-7818

Phone

(972) 904-5760

Fax

(817) 592-3323

NPI assigned

Aug 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: kimberly.onwubuya.1@24259.direct.athenahealth.com
• Direct secure messaging: info@kndbehavioralhealth.com

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.

• Asl Behavioral Health Clinic PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mansfield, TX
  • NPI 1760259832

  Single Specialty

  NPD (past)
• Behavioral Health Solutions of Arizona PLLC

  • Psychiatry Physician
  • Tempe, AZ
  • NPI 1265357495
  NPD (past)

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1386292001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 REGENCY PKWY STE 113",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637818",
            "telephone_number": "972-904-5760",
            "fax_number": "817-592-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 REGENCY PKWY STE 113",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637818",
            "telephone_number": "972-904-5760",
            "fax_number": "817-592-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONWUBUYA",
        "first_name": "KIMBERLY",
        "middle_name": "NNEKA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "AP142883",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP142883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "417764401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4177644",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2274936",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "INFO@KNDBEHAVIORALHEALTH.COM",
            "affiliation": "N",
            "endpointDescription": "PROVIDER EMAIL ADDRESS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "99 Regency Pkwy Ste 113",
            "city": "Mansfield",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760637818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberli Omwanghe, M.D.
• Thomas Mwembi Onchoke
• Oncology Pharmacy Services, Inc.
• Leah Ondiek, LPC-S
• Evelyne Ongwae, AGACNP-BC
• Nkechi O. Onyegasi, DNP
• Uche Onyegasi
• Thaddeus G Opalach, DO
• Judith Awiti Opee Gordon, NP
• Christine R Opitz, OTR

• Psychiatric/Mental Health Nurse Practitioner in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.

Verify at the official NPI Registry.