Blessing Onuruka Eziagwu

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1034714 Issued in TX

Practice address

120 W Main St Ste 220
Mesquite, TX 75149-4224

Phone

(214) 351-3490

NPI assigned

Apr 14, 2021

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

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family and Child Guidance CentersGroup PAC ID 1153413711, 16 clinicians

Brave Health Medical Group, PAGroup PAC ID 9537586052, 93 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 and National Provider Directory roles.

• New Beginning Medical Care Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Sachse, TX
  • NPI 1427926088

  Psychiatric/Mental Health, TX

  Medicare reassignment NPD Authorized official
• Family and Child Guidance Centers

  • Mental Health Counselor
  • Dallas, TX
  • NPI 1811062367

  TX

  Medicare reassignment Care Compare group
• Brave Health Medical Group PA

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1225669161

  TX

  Medicare reassignment Care Compare group
• North Texas Behavioral Health Authority

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1457720120

  Child & Adolescent Psychiatry, TX

  Medicare reassignment NPD
• North Texas Behavioral Health Authority

  • Community/Behavioral Health Agency
  • Dallas, TX
  • NPI 1407488463

  Child & Adolescent Psychiatry

  NPD (past)

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1568043313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 WILSHIRE DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750898883",
            "telephone_number": "214-434-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MAIN ST STE 220",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751494224",
            "telephone_number": "214-351-3490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7409 Wilshire Dr",
            "address_purpose": "LOCATION",
            "city": "Rowlett",
            "state": "TX",
            "postal_code": "750898883",
            "country_code": "US",
            "telephone_number": "214-434-5115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EZIAGWU",
        "first_name": "BLESSING",
        "middle_name": "ONURUKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1034714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "426720501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Exodus Healthcare Services Inc
• Eyemasters of Texas LTD
• Eyemax Family Vision PLLC
• Eyemax Optical Inc.
• Ifeyinwa Rosemary Ezeadikwa
• F&F Healthcare Solutions
• Fab 4 Alliance LLC
• Janna Fagan, RN
• Faith Assisted Living, LLC
• Olayinka Charles Fakuade

• 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 Oct 5, 2021; 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.