Individual provider Active NPI

Emem Nkanga, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Garland, TX
National Provider Identifier
1659031565
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1058164 Issued in TX
Practice address
3960 Broadway Blvd Ste 220K
Garland, TX 75043-8342
Phone
(469) 405-1577
Fax
(469) 405-1633
NPI assigned
Dec 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1058164 TX Primary

Addresses

Primary practice location

3960 Broadway Blvd Ste 220K
Garland, TX 75043-8342

Mailing address

3960 Broadway Blvd Ste 220K
Garland, TX 75043-8342
Phone (469) 405-1577

Other practice location 1

12709 E Mirabeau Pkwy Ste 300, Office 107
Spokane Valley, WA 99216-1665
Phone (469) 405-1577

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
I20220203000927 TX Practitioner - Nurse Practitioner 7113310749 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3960 Broadway Blvd
Suite 220K
Garland, TX 75043-8342
Phone (469) 405-1577

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ziks Health Services CurrentSince Jan 27, 2022 Accepting new patients
Mindful Solutions Psychiatry PLLC Psychiatric/Mental Health CurrentSince Oct 31, 2023 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Aug 15, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

9330 Lyndon B Johnson Fwy
Ste 948
Dallas, TX 75243
Phone (972) 972-4850

3960 Broadway Blvd
Ste 220K
Garland, TX 75043
Phone (469) 405-1577

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

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": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1659031565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 BROADWAY BLVD STE 220K",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750438342",
            "telephone_number": "469-405-1577",
            "fax_number": "469-405-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 BROADWAY BLVD STE 220K",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750438342",
            "telephone_number": "469-405-1577",
            "fax_number": "469-405-1633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12709 E Mirabeau Pkwy Ste 300, Office 107",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161665",
            "country_code": "US",
            "telephone_number": "469-405-1577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NKANGA",
        "first_name": "EMEM",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1058164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.