Oluchi Ijeoma Uwajumogu, NP 1051106

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1051106 Issued in TX

Practice address

2800 E Highway 114 Ste 350
Trophy Club, TX 76262-5309

Phone

(855) 204-2502

Fax

(817) 783-4672

NPI assigned

Aug 18, 2021

Last updated

Jun 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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, FL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kotel AtxGroup PAC ID 9537578810, 27 clinicians

Nextgen Post Acute Services PCGroup PAC ID 7517459647, 8 clinicians

Activate CR, PLLCGroup PAC ID 5193255099, 10 clinicians

Meridian Health Partners PLLCGroup PAC ID 5597170878, 66 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Activate CR, PLLC

  • Nephrology Physician
  • Frisco, TX
  • NPI 1063221851

  FL

  Medicare reassignment Care Compare group NPD
• Kotel Atx PLLC

  dba Heading Health

  • Adult Mental Health Clinic/Center
  • Austin, TX
  • NPI 1568055192
  Medicare reassignment Care Compare group NPD
• Meridian Health Partners PLLC

  • Internal Medicine Physician
  • Liberty Hill, TX
  • NPI 1215533807
  Medicare reassignment Care Compare group NPD
• Nextgen Post Acute Services PC

  • Critical Care Medicine Nurse Practitioner
  • Garland, TX
  • NPI 1609743996
  Medicare reassignment Care Compare group
• Elevated Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Grapevine, TX
  • NPI 1053241281
  NPD Authorized official
• Meridian Health Post Acute PLLC

  • Internal Medicine Physician
  • Allen, TX
  • NPI 1609731819
  Medicare reassignment

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1669148789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16515 LEXINGTON BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792310",
            "telephone_number": "281-980-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E HIGHWAY 114 STE 350",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625309",
            "telephone_number": "855-204-2502",
            "fax_number": "817-783-4672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16515 Lexington Blvd",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774792310",
            "country_code": "US",
            "telephone_number": "281-980-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UWAJUMOGU",
        "first_name": "OLUCHI",
        "middle_name": "IJEOMA",
        "credential": "NP 1051106",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1051106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1051106",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trophy Club Vision Care PLLC (Trophy Club Vision Care)
• Trophy Dental PA
• Trophy Smile Studio
• True Medicine, PA
• Tyler Oral & Facial Surgery Inc.
• Walgreen Co (Walgreens #06047)
• Jessica Wasserman, CRNA
• Natalee Weaver, PHARMD
• William Aaron Weller, DPT
• Alexander Wenner, DDS

• Psychiatric/Mental Health Nurse Practitioner in Trophy Club, TX
• Providers in Trophy Club, 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 Jun 25, 2026; 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.