Individual provider Active NPI

Evelyn Okunoghae, APRN, FNP-BC, DNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1609187970
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP117057 Issued in TX
Practice address
9304 Forest LN Ste N177
Dallas, TX 75243-6238
Phone
(214) 713-8228
Fax
(435) 292-6684
NPI assigned
Jul 1, 2010
Last updated
Mar 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP117057 TX Primary

Addresses

Primary practice location

9304 Forest LN Ste N177
Dallas, TX 75243-6238

Mailing address

9304 Forest LN Ste N177
Dallas, TX 75243-6238
Phone (469) 251-8772

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20121207000379 TX Practitioner - Nurse Practitioner 2062664550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9304 Forest LN
Suite N177
Dallas, TX 75243-6238
Phone (469) 251-8772

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Health and Wellness Clinic PLLC Family CurrentSince Mar 1, 2022 Accepting new patients

Locations

9304 Forest Ln
Ste 177
Dallas, TX 75243

9304 Forest Ln
Ste N177
Dallas, TX 75243
Phone (214) 713-8228

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1609187970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9304 FOREST LN STE N177",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436238",
            "telephone_number": "469-251-8772",
            "fax_number": "937-975-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9304 FOREST LN STE N177",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436238",
            "telephone_number": "214-713-8228",
            "fax_number": "435-292-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUNOGHAE",
        "first_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "APRN, FNP-BC, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP117057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.