Davida Oyere Koffi, PMHNP- BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1156473 Issued in TX

Practice address

2717 Tibbets Dr
Bedford, TX 76022-6914

Phone

(301) 537-3260

NPI assigned

Aug 24, 2018

Last updated

Apr 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1518448836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 TIBBETS DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226914",
            "telephone_number": "301-537-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 TIBBETS DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226914",
            "telephone_number": "301-537-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFFI",
        "first_name": "DAVIDA",
        "middle_name": "OYERE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP- BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1156473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING.",
            "identifier": "1156473",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Traci L Kirkland, PA
• Amy Kirsch, D.C.
• Jacqueline Sue Kleven, DDS
• Ellen Ko-Keeney, D.O.
• Kimberly Ann Koch, NP
• Nirmala Koirala, FNP
• Vani Kollipara, MD
• Mick Kong, DC
• Vani Kotha, M.D
• Stephen Mark Kralicke, D.D.S.

• Psychiatric/Mental Health Nurse Practitioner in Bedford, TX
• Providers in Bedford, 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 Apr 5, 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.

Verify at the official NPI Registry.