Individual provider Active NPI

Ijeoma Okereke, NP

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1760198113
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1109108 Issued in TX
Practice address
8440 Walnut Hill LN Ste 700
Dallas, TX 75231-3824
Phone
(469) 787-1617
NPI assigned
Jan 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1109108 TX Primary

Addresses

Primary practice location

8440 Walnut Hill LN Ste 700
Dallas, TX 75231-3824

Mailing address

2104 Hobkirks HL
McKinney, TX 75070-4571
Phone (310) 999-4064

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230519001249 TX Practitioner - Nurse Practitioner 7618333444 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1109108TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Specialists of North Texas, PLLC CurrentSince May 1, 2023 Accepting new patients
Elite Orthopaedics of Irving PLLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

8440 Walnut Hill Ln
Ste 700
Dallas, TX 75231
Phone (214) 361-3400

12228 N Central Expy
Ste 210
Dallas, TX 75243
Phone (214) 826-6044

11970 N Central Expy
Ste 340
Dallas, TX 75243
Phone (972) 940-9520

3537 S Interstate 35 E
Ste 305
Denton, TX 76210

5575 Frisco Square Blvd
Ste 240
Frisco, TX 75034

1100 Allied Dr
Plano, TX 75093
Phone (469) 814-3278

Organizations & group practices 2

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": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1760198113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 HOBKIRKS HL",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704571",
            "telephone_number": "310-999-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 WALNUT HILL LN STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313824",
            "telephone_number": "469-787-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKEREKE",
        "first_name": "IJEOMA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1109108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.