Active NPI
Evans Ntenga Mochabo
- Psychiatric/Mental Health Nurse Practitioner
- Heath, TX
National Provider Identifier
1427898667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1161912
- Practice address
- 2363 Ambassador CT
Heath, TX 75126-1687 - Phone
- (972) 693-6228
- NPI assigned
- May 27, 2024
- Last updated
- May 28, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1161912 | TX | Primary |
Addresses
Primary practice location
2363 Ambassador CT
Heath, TX 75126-1687
Mailing address
2363 Ambassador CT
Heath, TX 75126-1687
Phone (972) 693-6228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1161912 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Esquivel, PH.D., P.a. | Past | Accepting new patients |
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": "1716768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1427898667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2363 AMBASSADOR CT",
"city": "HEATH",
"state": "TX",
"postal_code": "751261687",
"telephone_number": "972-693-6228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2363 AMBASSADOR CT",
"city": "HEATH",
"state": "TX",
"postal_code": "751261687",
"telephone_number": "972-693-6228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOCHABO",
"first_name": "EVANS",
"middle_name": "NTENGA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-27",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1161912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Heath, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.