Organization Active NPI

Broad Minds Health and Wellness Services

  • Nurse Practitioner
  • Grand Prairie, TX
National Provider Identifier
1730805045
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
BROAD MINDS HEALTH AND WELLNESS SERVICES
Practice address
3040 Cesareo Dr
Grand Prairie, TX 75052-8739
Phone
(817) 583-6724
NPI assigned
Oct 18, 2022
Last updated
Oct 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Francisca Ogu, APRNNPI 1366094781
Title
Director
Phone
(817) 583-6724

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
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

3040 Cesareo Dr
Grand Prairie, TX 75052-8739

Mailing address

3040 Cesareo Dr
Grand Prairie, TX 75052-8739
Phone (817) 583-6724

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1730805045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 CESAREO DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528739",
            "telephone_number": "817-583-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 CESAREO DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528739",
            "telephone_number": "817-583-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROAD MINDS HEALTH AND WELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "OGU",
        "authorized_official_first_name": "FRANCISCA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-583-6724",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.