Organization Active NPI

Centric Family Clinic LLC

  • Family Nurse Practitioner
  • Mesquite, TX
National Provider Identifier
1689491276
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
CENTRIC FAMILY CLINIC LLC
Practice address
3224 I 30 Ste 119
Mesquite, TX 75150-2693
Phone
(214) 556-7766
NPI assigned
Sep 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Nnaemeka C Okea, NPNPI 1619706165
Title
Owner
Phone
(214) 556-7766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3224 I 30 Ste 119
Mesquite, TX 75150-2693

Mailing address

3224 I 30 Ste 119
Mesquite, TX 75150-2693
Phone (214) 556-7766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241115003365 TX Part B Supplier - Clinic/Group Practice 1850825654 Receives reassigned benefits from 1 practitioner
Practice locations: Mesquite, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2310631Centric Family Clinic, LLC3224 I 30 Suite 119, Mesquite, TX 75150Certificate of waiverSep 5, 2026

National Provider Directory

National Provider Directory

Locations

3224 I 30
Ste 119
Mesquite, TX 75150
Phone (214) 556-7766

1830 Range Dr
Ste 115
Mesquite, TX 75149
Phone (214) 556-7766

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1689491276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 I 30 STE 119",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502693",
            "telephone_number": "214-556-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3224 I 30 STE 119",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502693",
            "telephone_number": "214-556-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRIC FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "OKEA",
        "authorized_official_first_name": "NNAEMEKA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-556-7766",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.