Individual provider Active NPI

Ukamaka Rose Osuagwu, RN, PMHNP

  • Adult Psychiatric/Mental Health Registered Nurse
  • Mesquite, TX
National Provider Identifier
1790335875
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
AP132169 Issued in TX
Practice address
303 N Galloway Ave Ste a
Mesquite, TX 75149-4315
Phone
(214) 324-5400
Fax
(972) 329-5000
NPI assigned
Sep 19, 2019
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X AP132169 TX Primary

Addresses

Primary practice location

303 N Galloway Ave Ste a
Mesquite, TX 75149-4315

Mailing address

303 N Galloway Ave Ste a
Mesquite, TX 75149-4315
Phone (214) 324-5400

Other identifiers 1

IdentifierTypeStateIssuer
5696960MedicaidTX

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
I20201104002134 TX Practitioner - Nurse Practitioner 8628209012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

303 N Galloway Ave
Suite a
Mesquite, TX 75149-4315
Phone (214) 324-5400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP132169TXMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ample Health Services CurrentSince Jan 22, 2014 Accepting new patients

Locations

303 N Galloway Ave
Ste A
Mesquite, TX 75149
Phone (214) 324-5400

Interoperability endpoints

  • Direct secure messaging: uosuagwu23102@direct.phhs.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1790335875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N GALLOWAY AVE STE A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751494315",
            "telephone_number": "214-324-5400",
            "fax_number": "972-329-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N GALLOWAY AVE STE A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751494315",
            "telephone_number": "214-324-5400",
            "fax_number": "972-329-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSUAGWU",
        "first_name": "UKAMAKA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "RN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "TX",
            "license": "AP132169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5696960",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.