Individual provider Active NPI

Amarachi Nneoma Eleanya, MSN, FNP -BC

  • Family Nurse Practitioner
  • Garland, TX
National Provider Identifier
1679046486
Registry record updated Oct 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28192026A Issued in IN
Practice address
333 N Shiloh Rd Ste 107
Garland, TX 75042-6613
Phone
(972) 840-8599
NPI assigned
Jan 3, 2019
Last updated
Oct 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2022

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 28192026A IN Primary

Addresses

Primary practice location

333 N Shiloh Rd Ste 107
Garland, TX 75042-6613

Mailing address

6509 Sleepy Spring Dr
Plano, TX 75024-6122
Phone (219) 765-4804

Other practice location 1

1318 W Main St
Lewisville, TX 75067-3326
Phone (214) 222-0781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TX2 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

Enrollment IDStateProvider typePAC IDDetails
I20190603001466 IN Practitioner - Nurse Practitioner 5092048298 Reassigns benefits to 1 organization
I20200908000944 TX Practitioner - Nurse Practitioner 5092048298 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medicus Health Clinics PLLCGroup PAC ID 3072052885, 2 clinicians

Practice addresses (Care Compare)

333 N Shiloh Rd
Suite 107
Garland, TX 75042-6613
Phone (945) 260-3205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Pulmonary & Sleep Associates, Inc CurrentSince May 1, 2019 Accepting new patients
Medicus Health Clinics PLLC CurrentSince Mar 6, 2024 Accepting new patients
Ikechukwu Osuji, M.D PA CurrentSince Nov 5, 2021 Accepting new patients
Today Clinic Texas PLLC Past Accepting new patients
Simple Clinic, LLC Past Accepting new patients
Americare Medical Partners, PLLC Past Accepting new patients

Locations

2440 S Collins St
Ste 140
Arlington, TX 76014
Phone (817) 459-2501

333 N Shiloh Rd
Ste 107
Garland, TX 75042
Phone (945) 260-3205

1140 W Main St
Lewisville, TX 75067
Phone (972) 956-5558

Interoperability endpoints

  • Direct secure messaging: amarachi.eleanya.1@33318.direct.athenahealth.com

Organizations & group practices 7

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": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665273600000",
    "number": "1679046486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 SLEEPY SPRING DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246122",
            "telephone_number": "219-765-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SHILOH RD STE 107",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426613",
            "telephone_number": "972-840-8599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1318 W Main St",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750673326",
            "country_code": "US",
            "telephone_number": "214-222-0781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELEANYA",
        "first_name": "AMARACHI",
        "middle_name": "NNEOMA",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP -BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2022-10-09",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28192026A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.