Individual provider Active NPI

Diane Sheree Eakins, NP

  • Psychiatric/Mental Health Registered Nurse
  • Wichita Falls, TX
National Provider Identifier
1841765872
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
772951 Issued in TX
Practice address
4706 Brookdale Dr Ste 1
Wichita Falls, TX 76310-3270
Phone
(940) 500-4408
Fax
(940) 386-1318
NPI assigned
Oct 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 772951 TX
Psychiatric/Mental Health Registered Nurse 163WP0808X 772951 TX Primary

Addresses

Primary practice location

4706 Brookdale Dr Ste 1
Wichita Falls, TX 76310-3270

Mailing address

4860 Rhea Rd
Wichita Falls, TX 76308-4404
Phone (940) 500-4408

Other practice location 1

1708 Dayton Ave
Wichita Falls, TX 76301-6110
Phone (940) 500-4408

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
I20200602002047 TX Practitioner - Nurse Practitioner 1254752090 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
Telehealth
Offers telehealth services
Group practices
Managing Life Mental Health Clinic LLCGroup PAC ID 9436560638, 2 clinicians

Practice addresses (Care Compare)

1708 Dayton Ave
Wichita Falls, TX 76301-6110
Phone (940) 500-4408

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
772951TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Managing Life Mental Health Clinic LLC CurrentSince Jan 4, 2021 Accepting new patients
Jesse Gorley, M.D., PLLC PastSince Sep 23, 2021 Accepting new patients

Locations

1708 Dayton Ave
Wichita Falls, TX 76301
Phone (940) 228-7989

4706 Brookdale Dr
Ste 1
Wichita Falls, TX 76310
Phone (940) 500-4408

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 2

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": "1538697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1841765872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 RHEA RD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763084404",
            "telephone_number": "940-500-4408",
            "fax_number": "940-386-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4706 BROOKDALE DR STE 1",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763103270",
            "telephone_number": "940-500-4408",
            "fax_number": "940-386-1318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1708 Dayton Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763016110",
            "country_code": "US",
            "telephone_number": "940-500-4408",
            "fax_number": "940-386-1318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EAKINS",
        "first_name": "DIANE",
        "middle_name": "SHEREE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "772951",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "772951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.