Nkechi F Ezema, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP136133 Issued in TX

Practice address

2900 W Park Row Dr Ste C
Pantego, TX 76013-2047

Phone

(214) 483-1993

Fax

(214) 301-3171

NPI assigned

Jan 13, 2018

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX, MN2 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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nkechi Ezema, PLLCGroup PAC ID 2163759150, 2 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.

• Nkechi Ezema, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1932768090
  Medicare reassignment Care Compare group Authorized official
• Insynch Health, PLLC

  • Psychiatry Physician
  • Sugar Land, TX
  • NPI 1154087096

  Psychiatric/Mental Health

  Medicare reassignment NPD
• The Empowering Space, PLLC

  • Clinical Social Worker
  • Dallas, TX
  • NPI 1255964177
  NPD
• Addismind PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Prairie, TX
  • NPI 1639848724
  NPD (past)
• Divine Intervention Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • North Richland Hills, TX
  • NPI 1225781560
  NPD (past)
• Insynch Health, PLLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Houston, TX
  • NPI 1326954314
  NPD (past)
• Cedar Hill Therapy, LLC

  • Psychologist
  • St Louis Park, MN
  • NPI 1255712238

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1515801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1780192666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 WOOD STREAM DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528838",
            "telephone_number": "469-684-2454",
            "fax_number": "972-220-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W PARK ROW DR STE C",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760132047",
            "telephone_number": "214-483-1993",
            "fax_number": "214-301-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEMA",
        "first_name": "NKECHI",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-13",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP136133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.patternspsych.com",
            "affiliation": "N",
            "address_1": "2900 W Park Row Dr Ste C",
            "city": "Pantego",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760132047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emcc Pantego Physicians PLLC
• Emcc Pantego, LLC
• Emergency Physicians of Pantego PLLC
• Viema Chinwe Emmanuel-Perez, LPC, LCDC-I
• Endurance Home Health Care
• Faco Healthcare Services
• Family Counseling Center
• Daniel Louis Ferraro, D.D.S
• Nathan James Flesher, DMD
• Frontida Hospice Care LLC

• Psychiatric/Mental Health Nurse Practitioner in Pantego, TX
• Providers in Pantego, 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 Apr 2, 2021; 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.