Individual provider Active NPI

Nkem Agatha Nwaobi, DNP, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1659897130
Registry record updated Nov 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP134846 Issued in TX
Practice address
6960 Reno Circle
Beaumont, TX 77708-3593
Phone
(409) 234-9888
NPI assigned
Aug 16, 2017
Last updated
Nov 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134846 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP134846 TX Primary

Addresses

Primary practice location

6960 Reno Circle
Beaumont, TX 77708-3593

Mailing address

6960 Reno Cir
Beaumont, TX 77708-3593
Phone (409) 924-0275

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
I20180214002652 TX Practitioner - Nurse Practitioner 1355601238 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Health Center IncGroup PAC ID 5597675215, 12 clinicians

Practice addresses (Care Compare)

2548 Memorial Blvd
Port Arthur, TX 77640-2825
Phone (409) 983-1161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP134846TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ukanti Healthcare Services PLLC Psychiatric/Mental Health CurrentSince May 13, 2024 Accepting new patients
Spindletop MHMR Services CurrentSince Dec 27, 2017 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC CurrentSince Mar 1, 2018 Accepting new patients
Gulf Coast Health Center, Inc CurrentSince Apr 30, 2018 Accepting new patients
Beaumont Emergency Medicine Associates PLLC CurrentSince Mar 1, 2018 Accepting new patients
Gulf Coast Health Center Inc CurrentSince Apr 30, 2018 Accepting new patients
Spindletop MHMR Services Current Accepting new patients
Gulf Coast Health Center Inc Past Accepting new patients
Complete Health Care Family PastSince Jul 1, 2021 Accepting new patients
Barri Hoffman, FNP, P.L.L.C. PastSince Jan 19, 2008 Accepting new patients

Locations

2750 S 8th St
Beaumont, TX 77701
Phone (409) 838-6203

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

2548 Memorial Blvd
Port Arthur, TX 77640
Phone 4099831161817

2933 Park Plaza Ln
Port Arthur, TX 77642
Phone (409) 234-9888

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

601B W Rev Dr Ransom Howard St
Port Arthur, TX 77640

755 N 4th St
Silsbee, TX 77656
Phone (409) 385-3347

Organizations & group practices 10

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": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1659897130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6960 RENO CIR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777083593",
            "telephone_number": "409-924-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 RENO CIRCLE",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777083593",
            "telephone_number": "409-234-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWAOBI",
        "first_name": "NKEM",
        "middle_name": "AGATHA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134846",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP134846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.