Elizabeth Ikenyei

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1063458 Issued in TX

Practice address

623 Vista Verde Dr
Grand Prairie, TX 75051-4453

Phone

(214) 923-8252

NPI assigned

Apr 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Royal Haven MedicalGroup PAC ID 4284053026, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Royal Haven Medical

  • Primary Care Nurse Practitioner
  • Mansfield, TX
  • NPI 1740895911
  Medicare reassignment Care Compare group NPD
• Direct Primary Care in Texas LLC

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1942806773
  Medicare reassignment NPD
• Heal Tech Med LLC

  • Family Nurse Practitioner
  • Mansfield, TX
  • NPI 1215816053
  Medicare reassignment NPD
• Raguel LLC

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1962373191
  Medicare reassignment NPD
• US Televero Health PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Austin, TX
  • NPI 1992318992

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Psychiatry, TX

  Medicare reassignment NPD

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1760127377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 W COMMERCE ST STE 1102",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081953",
            "telephone_number": "469-892-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 VISTA VERDE DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514453",
            "telephone_number": "214-923-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKENYEI",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1063458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idtc Dental Hygiene Center
• Benson Igboeli
• Elham Ellie Ighani, DDS
• Llynsie Iglehart
• IHS Acquisition No 133 Inc
• Ikonmed Corp.
• Nguvan Stephanie Ikowe
• Ngozi Cordelia Iloanya
• Medukam Ilokwu, LVN
• Imagin Etc Inc.

• Psychiatric/Mental Health Nurse Practitioner in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.

Verify at the official NPI Registry.