Udokaku Stella Mbakwe

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

737774 Issued in TX

Practice address

625 Parkway Blvd Apt 1720625
Coppell, TX 75019-6087

Phone

(469) 235-0867

NPI assigned

Apr 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1821617457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PARKWAY BLVD APT 1720",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750196008",
            "telephone_number": "469-235-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PARKWAY BLVD APT 1720625",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750196087",
            "telephone_number": "469-235-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBAKWE",
        "first_name": "UDOKAKU",
        "middle_name": "STELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "737774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Matlock, LPC
• Gabe Matous, PT, DPT
• Victor Bryceson Matthiesen, D.C.
• Kathrine Maxine Maxfield, PH.D, CCC-SLP
• Maxwell Counseling and Associates
• MC Medical Strategy LLC
• George McAnelly II, M.D.
• Melissa McClure-Davis, M.D.
• Robbie McCullough IV
• Garrett Quinn McCurry, CPHT

• Registered Nurse in Coppell, TX
• Providers in Coppell, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.