Individual provider Active NPI

Gabriel Chika Eleda, APRN, AGNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1730571480
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP127455 Issued in TX
Practice address
5811 64TH St Ste 25
Lubbock, TX 79424-2724
Phone
(877) 654-9139
Fax
(877) 654-8335
NPI assigned
Mar 3, 2015
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP127455 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP127455 TX Primary
Registered Nurse 163W00000X 799103 TX

Addresses

Primary practice location

5811 64TH St Ste 25
Lubbock, TX 79424-2724

Mailing address

PO Box 182
Wolfforth, TX 79382-0182
Phone (877) 654-9139

Other practice location 1

2925 Skyway Cir N
Irving, TX 75038-3510
Phone (972) 639-5838

Other identifiers 1

IdentifierTypeStateIssuer
357235603MedicaidTX

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
I20150617000086 TX Practitioner - Nurse Practitioner 2163733213 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
Telehealth
Offers telehealth services
Group practices
San Gabriel ClinicaGroup PAC ID 9537563986, 2 clinicians

Practice addresses (Care Compare)

5811 64TH St
Suite 25
Lubbock, TX 79424-2724
Phone (877) 654-9139

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Gabriel Clinica Gerontology CurrentSince Jul 1, 2021 Accepting new patients
Health and Human Services Commission Nurse Practitioner Current Accepting new patients
Health and Human Services Commission Nurse Practitioner CurrentSince Jan 7, 2020 Accepting new patients
Health and Human Services Commission CurrentSince Jan 7, 2020 Accepting new patients
Lifevantage House Calls PLLC Past Accepting new patients

Locations

1901 N US Highway 87
Big Spring, TX 79720
Phone (432) 267-8216

710 S Gregg St
Ste 226
Big Spring, TX 79720
Phone (432) 652-2548

5811 64th St
Ste 25
Lubbock, TX 79424
Phone (432) 652-2548

Organizations & group practices 5

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": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1730571480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182",
            "city": "WOLFFORTH",
            "state": "TX",
            "postal_code": "793820182",
            "telephone_number": "877-654-9139",
            "fax_number": "877-654-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 64TH ST STE 25",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242724",
            "telephone_number": "877-654-9139",
            "fax_number": "877-654-8335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2925 Skyway Cir N",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750383510",
            "country_code": "US",
            "telephone_number": "972-639-5838",
            "fax_number": "972-791-8211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELEDA",
        "first_name": "GABRIEL",
        "middle_name": "CHIKA",
        "credential": "APRN, AGNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-03",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP127455",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP127455",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "799103",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357235603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.