Ida Madoka Lightfoot, RN, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

593409 Issued in TX

Practice address

6404 International Pkwy Ste 1010
Plano, TX 75093-8346

Phone

(972) 267-1988

NPI assigned

Jun 22, 2005

Last updated

Jul 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ida M Armstrong Former name

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

Specialty

Nurse Practitioner

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Psychiatric Medical Associates, PAGroup PAC ID 5597852749, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Psychiatric Medical Associates, PA

  • Psychiatry Physician
  • Plano, TX
  • NPI 1508902149
  Medicare reassignment Care Compare group NPD
• North Texas Behavioral Health Authority

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1457720120

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Joel a. Holiner, MD PA

  dba Holiner Psychiatric Group

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1346259645
  NPD (past)
• North Texas Behavioral Health Authority

  • Community/Behavioral Health Agency
  • Dallas, TX
  • NPI 1407488463
  NPD (past)

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1851397046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 FOREST PARK DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760872805",
            "telephone_number": "817-821-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 INTERNATIONAL PKWY STE 1010",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938346",
            "telephone_number": "972-267-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIGHTFOOT",
        "first_name": "IDA",
        "middle_name": "MADOKA",
        "credential": "RN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "593409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "P94062",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "368676801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IDA",
            "last_name": "ARMSTRONG",
            "middle_name": "M",
            "credential": "RN, PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lifestyle Wellness Center PC
• Lifted Healthcare Group Inc. (Lifted Hospice)
• Lifted Healthcare Group Inc. (Lifted Hospice)
• Lifted Minds Psychiatry & Wellness PLLC
• Lightflower, LTD. (Curate Healthcare Services)
• Meredith L Lightfoot, M.D.
• Lighthouse Eye Care, P.a.
• Mirtha Patricia Lightsey, LMT, RMT
• Lillian R. White MD PA
• Lilly H. Schaffer, M.D. P.a. (Preston Dermatology Center)

• Psychiatric/Mental Health Nurse Practitioner in Plano, TX
• Providers in Plano, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.