Individual provider Active NPI

Abraham Abegunde, APRN (PMHNP)

  • Psychiatric/Mental Health Nurse Practitioner
  • Allen, TX
National Provider Identifier
1841773504
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1034518 Issued in TX
Practice address
1772 W McDermott Dr
Allen, TX 75013-3342
Phone
(469) 340-2777
NPI assigned
Sep 10, 2018
Last updated
Aug 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1034518 TX Primary

Addresses

Primary practice location

1772 W McDermott Dr
Allen, TX 75013-3342

Mailing address

1772 W McDermott Dr
Allen, TX 75013-3342
Phone (469) 340-2777

Other practice location 1

1774 W McDermott Dr Ste 150
Allen, TX 75013-3424
Phone (469) 340-2777

Other practice location 2

Corner of Route N12 and N7
Fort Defiance, AZ 86504
Phone (928) 729-8000

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
I20230601000646 TX Practitioner - Nurse Practitioner 1850758178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shahla Ali MD PAGroup PAC ID 4587971452, 25 clinicians

Practice addresses (Care Compare)

1772 W McDermott Dr
Allen, TX 75013-3342
Phone (469) 340-2777

Corner of Route N12 and N7
Fdihb Inc.
Fort Defiance, AZ 86504-0649
Phone (928) 729-8082

PO Box
Suite 649
Fort Defiance, AZ 86504-0649

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1034518TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Jan 27, 2025 Accepting new patients
Shahla Ali MD PA CurrentSince Sep 23, 2024 Accepting new patients
Shahla Ali MD PA CurrentSince Sep 23, 2024 Accepting new patients

Locations

1774 W McDermott Dr
Ste 150
Allen, TX 75013
Phone (469) 340-2777

Organizations & group practices 3

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": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1841773504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1772 W MCDERMOTT DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133342",
            "telephone_number": "469-340-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1772 W MCDERMOTT DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133342",
            "telephone_number": "469-340-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1774 W McDermott Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750133424",
            "country_code": "US",
            "telephone_number": "469-340-2777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Corner of Route N12 and N7",
            "address_purpose": "LOCATION",
            "city": "FORT DEFIANCE",
            "state": "AZ",
            "postal_code": "86504",
            "country_code": "US",
            "telephone_number": "928-729-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABEGUNDE",
        "first_name": "ABRAHAM",
        "credential": "APRN (PMHNP)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-10",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1034518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.