Individual provider Active NPI

Myra Gaius-Anyaegbu, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1477065464
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP135402 Issued in TX
Practice address
1345 River Bend Dr
Dallas, TX 75247-6943
Phone
(214) 743-1272
NPI assigned
Oct 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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 AP135402 TX Primary

Addresses

Primary practice location

1345 River Bend Dr
Dallas, TX 75247-6943

Mailing address

1345 River Bend Dr
Dallas, TX 75247-6943

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180913002040 TX Practitioner - Nurse Practitioner 0042560971 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP135402TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince May 2, 2025 Accepting new patients
Hanifa Healthcare PC CurrentSince Sep 1, 2021 Accepting new patients
Behavioral Health of North Texas LLP CurrentSince Feb 1, 2021 Accepting new patients
Duncanville Mental Health Services PastSince Jun 24, 2019 Accepting new patients

Locations

2550 W Union Hills Dr
Ste 350
Phoenix, AZ 85027
Phone (480) 404-4952

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

2717 Tibbets Dr
Bedford, TX 76022
Phone (817) 685-4011

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

1111 S Friendswood Dr
Ste 107
Friendswood, TX 77546
Phone (281) 482-3376

5858 Main St
Ste 200
Frisco, TX 75033
Phone (214) 619-0721

10223 Broadway St
Ste D1
Pearland, TX 77584
Phone (713) 436-2522

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

Organizations & group practices 4

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": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1477065464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 RIVER BEND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752476943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 RIVER BEND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752476943",
            "telephone_number": "214-743-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIUS-ANYAEGBU",
        "first_name": "MYRA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP135402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.