Individual provider Active NPI

Theresa Nyaera Onsomu

  • Psychiatric/Mental Health Nurse Practitioner
  • Celina, TX
National Provider Identifier
1427814821
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1095977 Issued in TX
Practice address
412 Barnstorm Dr
Celina, TX 75009-0350
Phone
(908) 967-1162
NPI assigned
Feb 23, 2024
Last updated
Feb 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 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 1095977 TX Primary

Addresses

Primary practice location

412 Barnstorm Dr
Celina, TX 75009-0350

Mailing address

412 Barnstorm Dr
Celina, TX 75009-0350

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1095977TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Child & Adolescent Psychiatric Services PA CurrentSince Dec 1, 2024 Accepting new patients

Locations

1740 W Virginia St
Ste 100
McKinney, TX 75069
Phone (972) 709-7556

2140 N Lake Forest Dr
#104
McKinney, TX 75071
Phone (469) 747-1010

5501 Independence Pkwy
Ste 302
Plano, TX 75023
Phone (469) 747-1010

Organizations & group practices 1

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": "1708646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1427814821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 BARNSTORM DR",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750090350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 BARNSTORM DR",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750090350",
            "telephone_number": "908-967-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONSOMU",
        "first_name": "THERESA",
        "middle_name": "NYAERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1095977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, TX

Sources for this page

Verify at the official NPI Registry.