Anike Grace Aganaba Alabi, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1010731 Issued in TX

Practice address

1675 Republic Pkwy Ste 190
Mesquite, TX 75150-6902

Phone

(972) 576-7399

Fax

(972) 476-0006

NPI assigned

Aug 18, 2025

Last updated

Aug 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeremiah Sisay Pharmd MD PLLCGroup PAC ID 1557695608, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Jeremiah Sisay, Pharmd, MD, PLLC

  dba Grace and Joy Medical

  • Internal Medicine Physician
  • Mesquite, TX
  • NPI 1497217145

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Krystal Family Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesquite, TX
  • NPI 1699492298
  Medicare reassignment NPD

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1508743204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 REPUBLIC PKWY STE 190",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506902",
            "telephone_number": "972-576-7399",
            "fax_number": "972-476-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 REPUBLIC PKWY STE 190",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506902",
            "telephone_number": "972-576-7399",
            "fax_number": "972-476-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGANABA ALABI",
        "first_name": "ANIKE GRACE",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1010731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Affordable Chiropractic
• Affordable Dentures & Implants - Texas, PLLC (Affordable Dentures & Implants - Mesquite)
• Affordable Dentures & Implants - Texas, PLLC
• Affordable Home Health Care, Inc.
• Afterglow Anesthesia PLLC
• Agape Day Center for Adults Limited
• Agape Group Inc (D/B/A Agape Hospice Care)
• Agape Group, Inc. (Agape Home Healthcare)
• Agape Pharmacy Services Inc. (Med-Art Pharmacy)
• Agasa Creatve Arts Therapy LLC (Agasa Therapy)

• Psychiatric/Mental Health Nurse Practitioner in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.