Obioma Queeneth Madubuike, PSYCH NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1179274 Issued in TX

Practice address

1801 N Hampton Rd Ste 421
Desoto, TX 75115-2391

Phone

(214) 208-1358

NPI assigned

Nov 4, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Precision Psychiatric Clinic PLLC

  • Clinic/Center
  • Lewisville, TX
  • NPI 1437942562
  NPD Authorized official

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1669295226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N HAMPTON RD STE 421",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152391",
            "telephone_number": "214-208-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N HAMPTON RD STE 421",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152391",
            "telephone_number": "214-208-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADUBUIKE",
        "first_name": "OBIOMA",
        "middle_name": "QUEENETH",
        "name_prefix": "Miss",
        "credential": "PSYCH NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "TX",
            "license": "924523",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1179274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lva Quality Home Health Care, LLC
• Mia Lynch
• Shawnequa Lyons
• M & L Medical Services Hospice Inc
• Juanita Yvette Madison
• Thessalian Maeweather, B.A, M.A, BCBA, LBA
• Magnolia Therapeutic Solutions
• Mahesh Kottapalli, M.D., P.a.
• Danika Mamon, D.C.
• Keisha Lagail Manahan

• Psychiatric/Mental Health Nurse Practitioner in Desoto, TX
• Providers in Desoto, 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 Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.