Festus C Obonna

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP143752 Issued in TX

Practice address

9300 John Hickman Pkwy Ste 904
Frisco, TX 75035-5894

Phone

(865) 696-9226

NPI assigned

Feb 19, 2018

Last updated

Jun 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, NY, IA, CO, NM, AZ, CA, WY8 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 8

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Excel Psychiatry PLLC

  • Psychiatry Physician
  • McKinney, TX
  • NPI 1558024323
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  AZ, CO, IA, NM, NY, Psychiatric/Mental Health, TX, WY

  Medicare reassignment NPD
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Medisol, LLC

  • Child & Adolescent Psychiatry Physician
  • Piscataway, NJ
  • NPI 1003279308

  TX

  Medicare reassignment NPD
• Open Hands Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Frisco, TX
  • NPI 1508498080
  Authorized official Same address or phone

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1417457185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 SHADY GROVE CT",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750988144",
            "telephone_number": "865-696-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 JOHN HICKMAN PKWY STE 904",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355894",
            "telephone_number": "865-696-9226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 Shady Grove Ct",
            "address_purpose": "LOCATION",
            "city": "Wylie",
            "state": "TX",
            "postal_code": "750988144",
            "country_code": "US",
            "telephone_number": "865-696-9226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBONNA",
        "first_name": "FESTUS",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-19",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP143752",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "817267",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obinna Reginald Obidike, RPH
• Emmanuel Ikenna Obinero, PTA
• Obiora M Ekweani MD, PA
• Elizabeth Obiselu
• Adebimpe A Obodozie
• Occupational Health Centers of the Southwest PA (Concentra Medical Center)
• Jeffrey Ryan Ochoa, DMD
• Oculus Imaging LLC
• Jillian Michelle Odam
• Cathrine Owiye Odim-Eluebo, NP

• Psychiatric/Mental Health Nurse Practitioner in Frisco, TX
• Providers in Frisco, 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 Jun 10, 2020; 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.