Individual provider Active NPI

Iruka Scholastica Nweke, R.N.

  • Psychiatric/Mental Health Nurse Practitioner
  • Carrollton, TX
National Provider Identifier
1689843369
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP144343 Issued in TX
Practice address
3202 Delaford Dr
Carrollton, TX 75007-3036
Phone
(972) 394-4709
Fax
(972) 394-4574
NPI assigned
Feb 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP144343 TX Primary

Addresses

Primary practice location

3202 Delaford Dr
Carrollton, TX 75007-3036

Mailing address

3202 Delaford Dr
Carrollton, TX 75007-3036
Phone (972) 394-4709

Other identifiers 1

IdentifierTypeStateIssuer
67-9705OtherTXMEDICARE PROVIDER NUMBER

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
I20241112002549 TX Practitioner - Nurse Practitioner 4880600220 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carrollton, TX 75007
Phone (972) 741-8941

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP144343TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Oct 8, 2024 Accepting new patients
Good Hope Healthcare Services LLC Current Accepting new patients
Harmony Psychiatry PLLC CurrentSince Sep 25, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Good Hope Healthcare Services LLCCarrollton, TX, CCN 679705 Home health agency 5% Or Greater Direct Ownership Interest
Corporate Director
W-2 Managing Employee
Mar 31, 2008
Mar 31, 2008
Mar 31, 2008

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1689843369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 DELAFORD DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750073036",
            "telephone_number": "972-394-4709",
            "fax_number": "972-394-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 DELAFORD DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750073036",
            "telephone_number": "972-394-4709",
            "fax_number": "972-394-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWEKE",
        "first_name": "IRUKA",
        "middle_name": "SCHOLASTICA",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP144343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "67-9705",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.