Individual provider Active NPI

Evelyne Motue Imah

  • Psychiatric/Mental Health Nurse Practitioner
  • Plano, TX
National Provider Identifier
1407399645
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP132617 Issued in TX
Practice address
5076 W Plano Pkwy
Plano, TX 75093-4471
Phone
(972) 733-0095
NPI assigned
Nov 20, 2016
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP132617 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP70035708 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP132617 TX Primary

Addresses

Primary practice location

5076 W Plano Pkwy
Plano, TX 75093-4471

Mailing address

5700 Saint Thomas Dr
Plano, TX 75094-4620
Phone (214) 636-5837

Other practice location 1

101 Elliott Ave W Ste 500
Seattle, WA 98119-4292
Phone (206) 708-6432

Other practice location 2

10503 Forest Ln Ste 154B
Dallas, TX 75243-5441
Phone (972) 365-0084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180517002695 TX Practitioner - Nurse Practitioner 5698030856 Reassigns benefits to 3 organizations
I20251110002415 WA Practitioner - Nurse Practitioner 5698030856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians
Primamed Physicians, PLLCGroup PAC ID 9234027897, 62 clinicians

Practice addresses (Care Compare)

101 Elliott Ave W
Suite 500
Seattle, WA 98119-4292
Phone (425) 640-7009

10503 Forest LN
Dallas, TX 75243-5441
Phone (214) 636-5837

5076 W Plano Pkwy
Plano, TX 75093-5009
Phone (972) 733-0095

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP70035708WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primamed Physicians PLLC Multi-Specialty CurrentSince Sep 12, 2018 Accepting new patients
Grow Healthcare Group PA Multi-Specialty CurrentSince Jul 12, 2024 Accepting new patients
Mindful Therapy Group PC Multi-Specialty CurrentSince Oct 9, 2025 Accepting new patients
Primamed Physicians PLLC Multi-Specialty CurrentSince Sep 12, 2018 Accepting new patients
Xtra Care Clinic LLC Multi-Specialty CurrentSince Sep 6, 2021 Accepting new patients
Citimed, P.a. Multi-Specialty Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114

10503 Forest Ln
#154B
Dallas, TX 75243
Phone (214) 636-5837

10503 Forest Ln
Ste 154B
Dallas, TX 75243
Phone (972) 365-0084

11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

3304 Alma Dr
Plano, TX 75023
Phone (972) 424-6581

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

101 Elliott Ave W
Ste 500
Seattle, WA 98119
Phone (206) 708-6432

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) 378-4824

Interoperability endpoints

  • Direct secure messaging: evelyne.imahfnp.p11@direct.nextcare.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1479600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1407399645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SAINT THOMAS DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750944620",
            "telephone_number": "214-636-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5076 W PLANO PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934471",
            "telephone_number": "972-733-0095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Elliott Ave W Ste 500",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981194292",
            "country_code": "US",
            "telephone_number": "206-708-6432",
            "fax_number": "425-640-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10503 Forest Ln Ste 154B",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752435441",
            "country_code": "US",
            "telephone_number": "972-365-0084",
            "fax_number": "214-221-7199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IMAH",
        "first_name": "EVELYNE",
        "middle_name": "MOTUE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-20",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP132617",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP70035708",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP132617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.