Active NPI
Chioma Vivian Momife
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 404044
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 404044 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1056731 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valera Medical, P.a. | Single Specialty | Current | Accepting new patients |
| Valera Medical, P.C. | Single Specialty | Current | Accepting new patients |
| Grow Healthcare Group PA | Single Specialty | Current | Accepting new patients |
| Calming Horizons Health PLLC | Single Specialty | Current | 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.
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
AZ, NY, Single Specialty, TX, WA
-
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
- NPI 1407605793
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.