Individual provider Active NPI

Uzoamaka Phyllis Onyedebelu

  • Family Nurse Practitioner
  • Carrollton, TX
National Provider Identifier
1790200608
Registry record updated Aug 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP134644 Issued in TX
Practice address
2840 Keller Springs Rd
Carrollton, TX 75006-4829
Phone
(214) 901-8992
NPI assigned
Aug 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP134644 TX Primary

Addresses

Primary practice location

2840 Keller Springs Rd
Carrollton, TX 75006-4829

Mailing address

6415 Las Colinas Blvd
Irving, TX 75039-2901

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
I20180509001101 TX Practitioner - Nurse Practitioner 2365571577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Specialists of Texas PAGroup PAC ID 2769814573, 17 clinicians

Practice addresses (Care Compare)

2911 Medical Arts St
Suite 10
Austin, TX 78705-3302
Phone (866) 473-0663

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Best Star Home Health; Inc Current Accepting new patients

Locations

2840 Keller Springs Rd
Ste 601
Carrollton, TX 75006
Phone (214) 631-7827

Organizations & group practices 3

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": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502409600000",
    "number": "1790200608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 LAS COLINAS BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 KELLER SPRINGS RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750064829",
            "telephone_number": "214-901-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEDEBELU",
        "first_name": "UZOAMAKA",
        "middle_name": "PHYLLIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2017-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.