Individual provider Active NPI

Geraldine Nneka Okpara

  • Primary Care Nurse Practitioner
  • Wylie, TX
National Provider Identifier
1730646464
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP137060 Issued in TX
Practice address
2115 Dewsbury Dr
Wylie, TX 75098-7432
Phone
(214) 663-7288
NPI assigned
Feb 28, 2019
Last updated
Feb 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP137060 TX Primary

Addresses

Primary practice location

2115 Dewsbury Dr
Wylie, TX 75098-7432

Mailing address

2115 Dewsbury Dr
Wylie, TX 75098-7432
Phone (214) 663-7288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20220228000770 NM Order and Referring Only - Nurse Practitioner 6709944184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP137060TXMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1730646464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 DEWSBURY DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987432",
            "telephone_number": "214-663-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 DEWSBURY DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750987432",
            "telephone_number": "214-663-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKPARA",
        "first_name": "GERALDINE",
        "middle_name": "NNEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP137060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.