Individual provider Active NPI

Nneka Chinelo Jon-Ubabuco, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Grapevine, TX
National Provider Identifier
1912274622
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP121280 Issued in TX
Practice address
220 N Park Blvd
Suite 114
Grapevine, TX 76051-6987
Phone
(817) 488-7771
Fax
(817) 488-7774
NPI assigned
Nov 23, 2011
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 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 AP121280 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11041402 FL

Addresses

Primary practice location

220 N Park Blvd
Suite 114
Grapevine, TX 76051-6987

Mailing address

220 N Park Blvd
Suite 114
Grapevine, TX 76051-6987
Phone (817) 488-7771

Other names 1

  • Miss Nneka Chinelo Ubabukoh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, LA, NM, AR, FL6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20180613002971 TX Practitioner - Nurse Practitioner 8022363159 Reassigns benefits to 5 organizations
I20200721003376 CA Practitioner - Nurse Practitioner 8022363159 Reassigns benefits to 2 organizations
I20210915001315 LA Practitioner - Nurse Practitioner 8022363159 Reassigns benefits to 2 organizations
I20250421002928 NM Practitioner - Nurse Practitioner 8022363159 Reassigns benefits to 2 organizations
I20250624001377 AR Practitioner - Nurse Practitioner 8022363159 Reassigns benefits to 1 organization
I20250813004051 FL Practitioner - Nurse Practitioner 8022363159 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians
Forefront-Rush Medical Service PAGroup PAC ID 4486884285, 15 clinicians
St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians

Practice addresses (Care Compare)

120 E Harris Ave
San Angelo, TX 76903-5904
Phone (325) 747-6741

1717 Main St
Suite 5850
Dallas, TX 75201-7317
Phone (972) 440-9540

8410 Carrie LN
Rowlett, TX 75089-4857
Phone (615) 838-3532

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC CurrentSince Jan 27, 2025 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 29, 2026 Accepting new patients
Forefront-Rush Medical Service PA CurrentSince Feb 24, 2021 Accepting new patients
Forefront Telecare Inc CurrentSince Jun 11, 2021 Accepting new patients
Adult Child & Adolescent Psychiatric Services PA CurrentSince Mar 9, 2018 Accepting new patients
County of Imperial CurrentSince Apr 30, 2020 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 29, 2026 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 29, 2026 Accepting new patients
Forefront-Rush Medical Services PC CurrentSince May 16, 2025 Accepting new patients
Shannon Clinic CurrentSince Nov 24, 2024 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 29, 2026 Accepting new patients
St. Vincent Hospital PastSince May 24, 2026 Accepting new patients

Locations

300 Spring Building
Ste 900
Little Rock, AR 72201
Phone 80099761969238

202 N 8th St
El Centro, CA 92243
Phone (442) 265-1570

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1695 NW 9th Ave
Miami, FL 33136
Phone (305) 355-7147

15055 NW 27th Ave
Opa Locka, FL 33054
Phone (786) 466-2701

20201 NW 37th Ave
Opa Locka, FL 33056
Phone (786) 466-2700

115 N Calhoun St
Ste 4
Tallahassee, FL 32301
Phone (323) 776-3632

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

3500 Quakerbridge Rd
#105
Trenton, NJ 08619

1012 Marquez Pl
Unit 106B
Santa Fe, NM 87505
Phone (505) 470-8132

1901 Medi Park Dr
Ste 2058
Amarillo, TX 79106
Phone (806) 354-9540

1901 Medi Park Dr
Ste 219
Amarillo, TX 79106
Phone (806) 356-7744

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

400 Ranger St
Hereford, TX 79045
Phone (806) 364-0661

20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000

2140 N Lake Forest Dr
#104
McKinney, TX 75071
Phone (469) 747-1010

5501 Independence Pkwy
Ste 302
Plano, TX 75023
Phone (469) 747-1010

2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

120 E Harris Ave
San Angelo, TX 76903
Phone (325) 653-6741

Interoperability endpoints

  • Direct secure messaging: njonubabuco141068@direct.phhs.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1912274622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N PARK BLVD",
            "address_2": "SUITE 114",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516987",
            "telephone_number": "817-488-7771",
            "fax_number": "817-488-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N PARK BLVD",
            "address_2": "SUITE 114",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760516987",
            "telephone_number": "817-488-7771",
            "fax_number": "817-488-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JON-UBABUCO",
        "first_name": "NNEKA",
        "middle_name": "CHINELO",
        "name_prefix": "Miss",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP121280",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11041402",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NNEKA",
            "last_name": "UBABUKOH",
            "middle_name": "CHINELO",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.