Individual provider Active NPI

Juliana Ekpenyong, FNP-C

  • Family Nurse Practitioner
  • Marshall, TX
National Provider Identifier
1689289308
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1029215 Issued in TX
Practice address
815 S Washington Ave Ste 201
Marshall, TX 75670-5341
Phone
(903) 927-6680
Fax
(903) 927-6681
NPI assigned
Sep 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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 1029215 TX Primary

Addresses

Primary practice location

815 S Washington Ave Ste 201
Marshall, TX 75670-5341

Mailing address

815 S Washington Ave Ste 201
Marshall, TX 75670-5341
Phone (903) 927-6680

Other names 1

  • Miss Juliana Okogun Former name

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
I20210524001355 TX Practitioner - Nurse Practitioner 1355740317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

815 S Washington Ave
Marshall, TX 75670-5369
Phone (913) 315-4880

Hospital & facility affiliations

  • Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Jul 19, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 19, 2021 Accepting new patients
Trinity Clinic Past Accepting new patients

Locations

815 S Washington Ave
Ste 201
Marshall, TX 75670
Phone (903) 927-6680

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1689289308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S WASHINGTON AVE STE 201",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756705341",
            "telephone_number": "903-927-6680",
            "fax_number": "903-927-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S WASHINGTON AVE STE 201",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756705341",
            "telephone_number": "903-927-6680",
            "fax_number": "903-927-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKPENYONG",
        "first_name": "JULIANA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-10",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1029215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIANA",
            "last_name": "OKOGUN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marshall, TX

Sources for this page

Verify at the official NPI Registry.