Caroline Onyekachi Nwachukwu, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP144111 Issued in TX

Practice address

203 Longhorn TRL
Grand Prairie, TX 75052-3589

Phone

(632) 333-8040

Fax

(972) 854-6632

NPI assigned

Jan 2, 2020

Last updated

Jan 8, 2020By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• E. E. Cornerstone Home Health, Inc

  • Home Health Agency
  • Grand Prairie, TX
  • NPI 1962738245
  NPD Authorized official
• Hebron Health Care Services. Inc

  dba Adore Home-Healthcare

  • Community/Behavioral Health Agency
  • Plano, TX
  • NPI 1225275316
  NPD
• North Texas Behavioral Health Authority

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1457720120

  Psychiatric/Mental Health

  NPD
• 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": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1871132225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 LONGHORN TRL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523589",
            "telephone_number": "632-333-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 LONGHORN TRL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523589",
            "telephone_number": "632-333-8040",
            "fax_number": "972-854-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWACHUKWU",
        "first_name": "CAROLINE",
        "middle_name": "ONYEKACHI",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP144111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Dawn Novotny, PHARMD, RPH
• Brittanie Elizabeth Nunn, LVN
• Nuru Behavioral Network LLC.
• Nutrition by Rina
• Ikechukwu A Nwabude, MD
• Vitus Uchenna Nwafor, P.A.
• Kenneth Chike Nwankwo, R.PH
• Michelle Nwankwor
• Ifeoma Eziokwu Nweke
• Lolin Nyokabi, NURSE

• Psychiatric/Mental Health Nurse Practitioner in Grand Prairie, TX
• Providers in Grand Prairie, 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 Jan 8, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.