Individual provider Active NPI

Chioma Vivian Momife

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1730848672
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404044 Issued in NY
Practice address
4131 N Central Expy Ste 900
Dallas, TX 75204-2120
Phone
(469) 746-4247
NPI assigned
Dec 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 1056731 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404044 NY Primary

Addresses

Primary practice location

4131 N Central Expy Ste 900
Dallas, TX 75204-2120

Mailing address

4131 N Central Expy Ste 900
Dallas, TX 75204-2120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, WA, AZ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220824000911 NY Practitioner - Nurse Practitioner 5799168746 Reassigns benefits to 2 organizations
I20221123002575 TX Practitioner - Nurse Practitioner 5799168746 Reassigns benefits to 2 organizations
I20251209004554 WA Practitioner - Nurse Practitioner 5799168746 Reassigns benefits to 1 organization
I20260311003108 AZ Practitioner - Nurse Practitioner 5799168746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valera Medical PCGroup PAC ID 0547690521, 160 clinicians

Practice addresses (Care Compare)

134 N 4TH St
Brooklyn, NY 11249-3296
Phone (646) 450-7748

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
404044NYMDPsychiatric/Mental Health Nurse Practitioner
1056731TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valera Medical, P.a. Single Specialty CurrentSince Oct 1, 2022 Accepting new patients
Valera Medical, P.C. Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Grow Healthcare Group PA Single Specialty CurrentSince Aug 12, 2025 Accepting new patients
Calming Horizons Health PLLC Single Specialty CurrentSince Nov 17, 2024 Accepting new patients

Locations

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

134 N 4th St
Brooklyn, NY 11249

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

4131 N Central Expy
Ste 900
Dallas, TX 75204
Phone (214) 265-6554

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

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Organizations & group practices 4

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": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1730848672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 N CENTRAL EXPY STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 N CENTRAL EXPY STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042120",
            "telephone_number": "469-746-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMIFE",
        "first_name": "CHIOMA",
        "middle_name": "VIVIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1056731",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.