Ekeoma Ekeh, RN, NP
Individual provider Active NPI Family Nurse Practitioner · Fresno, TX
NPI 1780259697 · NPPES record last updated May 24, 2021
Key facts
- NPI
- 1780259697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- F10201224 (TX)
- Practice address
- 2411 Tucker Creek Dr
Fresno, TX 77545-2314 - Phone
- (832) 567-8198
- NPI assigned
- May 24, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240604003906 | TX | Practitioner - Nurse Practitioner | 2466994579 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F10201224 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa of Texas PLLC | Current |
Accepting new patients | |
| Vpa of Texas PLLC | Current |
Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients |
Locations
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F10201224 | TX | Yes |
Addresses
Primary practice location
2411 Tucker Creek Dr
Fresno, TX 77545-2314
Mailing address
2411 Tucker Creek Dr
Fresno, TX 77545-2314
Phone (832) 567-8198
Other providers in Fresno, TX
- Cynthia Denise Drew
- DTF Koluz LLC
- Dynamic Surgical Assistants of Texas
- Abies Rachael Egharevba
- Comfort Eke
- Vivian Ekortarh
- Elite Homehealth Agency LLC
- Brittney Ellis
- Larry D Ellis Sr.
- Ellison Davis Counseling and Wellness Center, PLLC
All providers in Fresno, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.