Individual provider Active NPI

Patrick Iyke Igbokwe, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, TX
National Provider Identifier
1417706631
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1158719 Issued in TX
Practice address
2920 Lee St # 203
Greenville, TX 75401-4111
Phone
(214) 469-4213
NPI assigned
May 20, 2024
Last updated
May 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1158719 TX Primary

Addresses

Primary practice location

2920 Lee St # 203
Greenville, TX 75401-4111

Mailing address

14605 Prairie Fire Dr
Frisco, TX 75033-7028
Phone (214) 469-4213

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1158719TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lim Behavioral Health Services Inc Psychiatric/Mental Health CurrentSince Oct 11, 2024 Accepting new patients
Pmi Wellness Group PLLC CurrentSince Dec 19, 2024 Accepting new patients

Locations

2920 Lee St
#203
Greenville, TX 75401
Phone (214) 469-4213

3900 Joe Ramsey Blvd E
Bldg 4
Greenville, TX 75401
Phone (214) 815-9187

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, 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": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1417706631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14605 PRAIRIE FIRE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750337028",
            "telephone_number": "214-469-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 LEE ST # 203",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754014111",
            "telephone_number": "214-469-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGBOKWE",
        "first_name": "PATRICK",
        "middle_name": "IYKE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1158719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.