Individual provider Active NPI

Souad Hawkins-Ezzaher

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1760297162
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1025624 Issued in TX
Practice address
2800 E Broad St Ste 400
Mansfield, TX 76063-6414
Phone
(817) 675-0828
NPI assigned
Feb 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1025624 TX Primary

Addresses

Primary practice location

2800 E Broad St Ste 400
Mansfield, TX 76063-6414

Mailing address

7227 Brisa Rd
Grand Prairie, TX 75054-0089
Phone (817) 675-0828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250711000187 TX Practitioner - Nurse Practitioner 8921513847 Reassigns benefits to 3 organizations
I20260406002951 NM Practitioner - Nurse Practitioner 8921513847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harmonica PsychiatryGroup PAC ID 3476963695, 3 clinicians

Practice addresses (Care Compare)

3120 Hudson Xing
Suite A3
McKinney, TX 75070-6555
Phone (469) 754-9941

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Behavioral LLC Psychiatric/Mental Health CurrentSince Oct 13, 2025 Accepting new patients
Kotel Atx PLLC CurrentSince Feb 23, 2025 Accepting new patients
Harmonica Health Services CurrentSince May 25, 2025 Accepting new patients
Harmonica Psychiatry Psychiatric/Mental Health CurrentSince May 25, 2025 Accepting new patients
Hawkins Psychiatry PC PastSince Oct 13, 2025 Accepting new patients

Locations

3120 Hudson Xing
Ste A3
McKinney, TX 75070
Phone (469) 754-9941

2106 W Pioneer Pkwy
Ste 125
Pantego, TX 76013
Phone (817) 429-7546

Organizations & group practices 7

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": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1760297162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7227 BRISA RD",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750540089",
            "telephone_number": "817-675-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E BROAD ST STE 400",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636414",
            "telephone_number": "817-675-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS-EZZAHER",
        "first_name": "SOUAD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1025624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.