Individual provider Active NPI

Macbarbara Amaechi, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, TX
National Provider Identifier
1538632336
Registry record updated Aug 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1003974 Issued in TX
Practice address
5614 W Grand Pkwy S Ste 102
Richmond, TX 77406-5820
Phone
(832) 400-1002
NPI assigned
Jan 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-213474 MT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G160510 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0100464-C-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 61755 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1003974 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61098624 WA

Addresses

Primary practice location

5614 W Grand Pkwy S Ste 102
Richmond, TX 77406-5820

Mailing address

77 Sugar Creek Center Blvd Ste 600
Sugar Land, TX 77478-3688
Phone (832) 400-1002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MT, TX, CO4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210520002917 WA Practitioner - Nurse Practitioner 7315346582 Reassigns benefits to 3 organizations
I20230417000592 MT Practitioner - Nurse Practitioner 7315346582 Reassigns benefits to 2 organizations
I20240523003685 TX Practitioner - Nurse Practitioner 7315346582 Reassigns benefits to 1 organization
I20241125000045 CO Practitioner - Nurse Practitioner 7315346582 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

221 1St Ave W
Suite 200
Seattle, WA 98119-4223
Phone (832) 400-1002

77 Sugar Creek Ctr Blvd
Suite 600
Sugar Land, TX 77478-3688
Phone (832) 400-1002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G160510IAMDPsychiatric/Mental Health Nurse Practitioner
APRN-213474MTMDPsychiatric/Mental Health Nurse Practitioner
61755NMMDPsychiatric/Mental Health Nurse Practitioner
1003974TXMDPsychiatric/Mental Health Nurse Practitioner
AP61098624WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valera Medical, P.a. Psychiatric/Mental Health CurrentSince Oct 1, 2024 Accepting new patients
Billings Clinic CurrentSince Mar 25, 2023 Accepting new patients
Billings Clinic CurrentSince Mar 25, 2023 Accepting new patients
Valera Medical, P.C. Psychiatric/Mental Health CurrentSince Jun 1, 2024 Accepting new patients
Multicare Health System CurrentSince Jul 17, 2024 Accepting new patients
Blissz Psychiatry & Healthcare LLC Psychiatric/Mental Health CurrentSince May 5, 2024 Accepting new patients
Multicare Health System CurrentSince Jul 17, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Compass Health CurrentSince Feb 19, 2021 Accepting new patients

Locations

7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

2950 10th Ave N
Billings, MT 59101
Phone (406) 657-3901

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

3010 Santa Fe Ct
Missoula, MT 59808
Phone (406) 219-7233

5614 W Grand Pkwy S
Ste 102
Richmond, TX 77406
Phone (832) 400-1002

77 Sugar Creek Center Blvd
Ste 600
Sugar Land, TX 77478
Phone (281) 872-6455

4526 Federal Ave
Everett, WA 98203
Phone (425) 349-8397

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

221 1st Ave W
Ste 200
Seattle, WA 98119
Phone (832) 400-1002

Organizations & group practices 9

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": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723334400000",
    "number": "1538632336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 SUGAR CREEK CENTER BLVD STE 600",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783688",
            "telephone_number": "832-400-1002",
            "fax_number": "832-410-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5614 W GRAND PKWY S STE 102",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774065820",
            "telephone_number": "832-400-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAECHI",
        "first_name": "MACBARBARA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2024-08-11",
        "certification_date": "2024-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "APRN-213474",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G160510",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0100464-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "61755",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1003974",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61098624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.