Individual provider Active NPI

Nonye Nwokoro

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, TX
National Provider Identifier
1811544000
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP142730 Issued in TX
Practice address
733 Highway 287 N Ste 407
Mansfield, TX 76063-3867
Phone
(214) 210-5592
Fax
(505) 212-1939
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61471066 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 63027 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP142730 TX Primary

Addresses

Primary practice location

733 Highway 287 N Ste 407
Mansfield, TX 76063-3867

Mailing address

733 Highway 287 N Ste 407
Mansfield, TX 76063-3867
Phone (214) 210-5592

Other practice location 1

1209 Mountain Road Pl NE # 4503
Albuquerque, NM 87110-7845
Phone (214) 210-5592

Other practice location 2

1202 Central Ave SW Ste 19
Albuquerque, NM 87102-2803
Phone (323) 522-2218

Other practice location 3

100 N Howard St Ste R
Spokane, WA 99201-0508
Phone (214) 210-5592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, WA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200325003638 TX Practitioner - Nurse Practitioner 0749618734 Reassigns benefits to 5 organizations
I20211110001199 NM Practitioner - Nurse Practitioner 0749618734 Reassigns benefits to 4 organizations
I20240718003345 WA Practitioner - Nurse Practitioner 0749618734 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63027NMMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affect Therapeutics, Inc. CurrentSince Mar 13, 2024 Accepting new patients
My Health My Resources of Tarrant County CurrentSince Feb 18, 2020 Accepting new patients
Forefront-Rosenzweig Medical Services Professional Corporation CurrentSince Jul 27, 2025 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jun 20, 2022 Accepting new patients
Elevation Counseling, LLC Psychiatric/Mental Health CurrentSince Jan 24, 2024 Accepting new patients
Affect Therapeutics Inc Psychiatric/Mental Health CurrentSince Mar 13, 2024 Accepting new patients
Access Telecare, PLLC CurrentSince Jun 13, 2025 Accepting new patients
Camino Real Community MHMR Center CurrentSince Dec 22, 2025 Accepting new patients
Healing Hope Behavioral Clinic LLC Psychiatric/Mental Health PastSince Nov 1, 2021 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

6612 Gulton Ct NE
Ste A
Albuquerque, NM 87109
Phone (505) 289-0797

1202 Central Ave SW
Ste 19
Albuquerque, NM 87102

3840 Hulen St
Ft Worth, TX 76107
Phone (817) 569-4395

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

1749 E State Highway 97
Jourdanton, TX 78026
Phone (830) 767-2320

19965 FM 3175
Lytle, TX 78052
Phone (210) 357-0300

3800 Paluxy Dr
Ste 404
Tyler, TX 75703

1640 Boro Pl
Fl 4
Tysons, VA 22102
Phone (571) 440-1887

7356 15th Ave NW
Seattle, WA 98117

1780 Barnes Blvd SW
Tumwater, WA 98512
Phone (212) 993-7809

1112 Daniels St
Bsmt
Vancouver, WA 98660

Organizations & group practices 10

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": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1811544000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 HIGHWAY 287 N STE 407",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633867",
            "telephone_number": "214-210-5592",
            "fax_number": "505-212-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 HIGHWAY 287 N STE 407",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633867",
            "telephone_number": "214-210-5592",
            "fax_number": "505-212-1939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1209 Mountain Road Pl NE # 4503",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871107845",
            "country_code": "US",
            "telephone_number": "214-210-5592",
            "fax_number": "505-212-1939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1202 Central Ave SW Ste 19",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871022803",
            "country_code": "US",
            "telephone_number": "323-522-2218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 N Howard St Ste R",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992010508",
            "country_code": "US",
            "telephone_number": "214-210-5592",
            "fax_number": "505-212-1939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWOKORO",
        "first_name": "NONYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61471066",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "63027",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP142730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

Verify at the official NPI Registry.