Individual provider Active NPI

Anelechi Ottah

  • Family Nurse Practitioner
  • Mesquite, TX
National Provider Identifier
1639636327
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139732 Issued in TX
Practice address
3220 Gus Thomasson Rd
Mesquite, TX 75150-4057
Phone
(972) 254-7272
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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 AP139732 TX Primary

Addresses

Primary practice location

3220 Gus Thomasson Rd
Mesquite, TX 75150-4057

Mailing address

2861 Ingram Cir
Mesquite, TX 75181-4425
Phone (214) 542-9125

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
I20241227001457 TX Practitioner - Nurse Practitioner 4688857584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Point - Desoto LLCGroup PAC ID 0749679702, 27 clinicians

Practice addresses (Care Compare)

708 E Corsicana St
Athens, TX 75751-2627
Phone (903) 476-0061

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Total Point - Desoto LLC Family CurrentSince Nov 27, 2024 Accepting new patients
Victory Tele Healthcare PLLC Family CurrentSince Jan 20, 2025 Accepting new patients
Providers Home Health Agency Inc Current Accepting new patients

Locations

708 E Corsicana St
Athens, TX 75751
Phone (903) 476-0061

1601 Elm St
Ste 4210
Dallas, TX 75201

1111 N Interstate 35 E
Desoto, TX 75115
Phone (469) 530-9220

1517 E Rusk St
Jacksonville, TX 75766
Phone (903) 339-2370

Organizations & group practices 3

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": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1639636327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2861 INGRAM CIR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751814425",
            "telephone_number": "214-542-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 GUS THOMASSON RD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504057",
            "telephone_number": "972-254-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTAH",
        "first_name": "ANELECHI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.