Individual provider Active NPI

Tochukwu Toby Udegbune, AGPCNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1467964221
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP135679 Issued in TX
Practice address
5450 Clearfork Main St Ste 300
Fort Worth, TX 76109-3514
Phone
(817) 334-1400
NPI assigned
Nov 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP135679 TX Primary
Adult Health Nurse Practitioner 363LA2200X 312610 NY
Adult Health Nurse Practitioner 363LA2200X 95034194 CA
Adult Health Nurse Practitioner 363LA2200X AP135679 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407762 NY

Addresses

Primary practice location

5450 Clearfork Main St Ste 300
Fort Worth, TX 76109-3514

Mailing address

9861 Saginaw Blvd Ste 300
Fort Worth, TX 76179-5196
Phone (817) 334-1400

Other practice location 1

1011 N Cooper St
Arlington, TX 76011-5517
Phone (817) 261-3121

Other practice location 2

1701 River Run Ste 118
Fort Worth, TX 76107-6579
Phone (972) 221-7900

Other names 1

  • Mrs. Tochukwu Frimpong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180426002275 TX Practitioner - Nurse Practitioner 1355605338 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geode Health of Texas, PLLCGroup PAC ID 2062896897, 158 clinicians

Practice addresses (Care Compare)

1701 River Run
Fort Worth, TX 76107-6579
Phone (972) 221-7900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
312610NYMDInternal Medicine Physician
95034194CAMDAdult Health Nurse Practitioner
407762NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geode Health of Texas, PLLC CurrentSince Nov 24, 2025 Accepting new patients
BSW Geode Clinicians of Texas PLLC CurrentSince Jan 1, 2026 Accepting new patients
Wellmed Medical Group, PA CurrentSince Aug 15, 2022 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Aug 15, 2022 Accepting new patients
Medical Clinic of North Texas, PLLC Nurse Practitioner CurrentSince Mar 1, 2024 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Mar 1, 2024 Accepting new patients
T.a.N Logistics CurrentSince Sep 14, 2025 Accepting new patients
Adebogun M.D., P. a. PastSince Jan 1, 2026 Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

1701 River Run
Fort Worth, TX 76107
Phone (254) 768-3397

2327 N Riverside Dr
Fort Worth, TX 76111
Phone (817) 834-1655

9861 Saginaw Blvd
Ste 300
Fort Worth, TX 76179
Phone (818) 626-2459

1701 River Run
Ste 1118
Fort Worth, TX 76107
Phone (817) 865-3954

5450 Clearfork Main St
Ste 300
Fort Worth, TX 76109
Phone (817) 334-1400

1701 River Run
Ste 118
Ft Worth, TX 76107

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

768 Bandit Trl
Keller, TX 76248
Phone (817) 865-3954

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1467964221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9861 SAGINAW BLVD STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761795196",
            "telephone_number": "817-334-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 CLEARFORK MAIN ST STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761093514",
            "telephone_number": "817-334-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 N Cooper St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760115517",
            "country_code": "US",
            "telephone_number": "817-261-3121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 River Run Ste 118",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761076579",
            "country_code": "US",
            "telephone_number": "972-221-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UDEGBUNE",
        "first_name": "TOCHUKWU",
        "middle_name": "TOBY",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP135679",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "312610",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95034194",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP135679",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407762",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOCHUKWU",
            "last_name": "FRIMPONG",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.