Individual provider Active NPI

Ogechi Ekeke, FNP-BC

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1841766458
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138984 Issued in TX
Practice address
122 W Colorado Blvd
Dallas, TX 75208-2382
Phone
(214) 947-6700
Fax
(214) 947-6701
NPI assigned
Oct 22, 2018
Last updated
Oct 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP138984 TX
Family Nurse Practitioner 363LF0000X AP138984 TX Primary

Addresses

Primary practice location

122 W Colorado Blvd
Dallas, TX 75208-2382

Mailing address

122 W Colorado Blvd
Dallas, TX 75208-2382
Phone (214) 947-6700

Other practice location 1

4315 Aston Ln
Mansfield, TX 76063-8627
Phone (706) 580-4017 ext. 70658

Other practice location 2

901 W Broad St
Mansfield, TX 76063-4506
Phone (706) 580-4017

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
I20190824000243 TX Practitioner - Nurse Practitioner 3971831272 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scepter Health Resources LLC CurrentSince Jan 20, 2021 Accepting new patients
Openloop Healthcare Partners PC Nurse Practitioner CurrentSince Aug 31, 2025 Accepting new patients
Restore Ventures Current Accepting new patients
Crystal Mind Psychiatry and Counseling PastSince Aug 13, 2023 Accepting new patients

Locations

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501

9400 Lakeview Pkwy
Ste 111
Rowlett, TX 75088
Phone (469) 270-7854

Interoperability endpoints

  • Direct secure messaging: ogechi.ekeke.1@23969.direct.athenahealth.com

Organizations & group practices 4

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": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1841766458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W COLORADO BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082382",
            "telephone_number": "214-947-6700",
            "fax_number": "214-947-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W COLORADO BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082382",
            "telephone_number": "214-947-6700",
            "fax_number": "214-947-6701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4315 Aston Ln",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760638627",
            "country_code": "US",
            "telephone_number": "706-580-4017 x70658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760634506",
            "country_code": "US",
            "telephone_number": "706-580-4017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKEKE",
        "first_name": "OGECHI",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP138984",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.