Individual provider Active NPI

Vanajakshi Dattatreya, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • McKinney, TX
National Provider Identifier
1912626045
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1089225 Issued in TX
Practice address
4801 Medical Center Dr
McKinney, TX 75069-1881
Phone
(469) 714-0006
NPI assigned
Aug 23, 2022
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 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 AP70000791 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1089225 TX Primary

Addresses

Primary practice location

4801 Medical Center Dr
McKinney, TX 75069-1881

Mailing address

509 Port Isabel LN
McKinney, TX 75071-6718
Phone (248) 631-7805

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
I20230815001190 TX Practitioner - Nurse Practitioner 7618339250 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Exult Healthcare Solutions, LLCGroup PAC ID 5092005579, 4 clinicians

Practice addresses (Care Compare)

4801 Medical Ctr Dr
McKinney, TX 75069-1881
Phone (469) 714-0006

Merit-based Incentive Payment System (MIPS)

Final score
98.2 of 100Reported as group
Quality
100
Improvement activities
40
Cost
60.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP70000791WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Psychiatry Healthcare PA CurrentSince Aug 1, 2023 Accepting new patients
Exult Healthcare Solutions, LLC CurrentSince Aug 1, 2025 Accepting new patients
Deepika Bhargava, M.D., P.a. CurrentSince Aug 1, 2025 Accepting new patients

Locations

104 Whispering Pines Ave
Friendswood, TX 77546
Phone (281) 819-1438

2437 Bay Area Blvd
Houston, TX 77058
Phone (281) 944-4701

4801 Medical Center Dr
McKinney, TX 75069
Phone (469) 214-7801

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

12234 Shadow Creek Pkwy
Bldg 4
Pearland, TX 77584
Phone (281) 668-8822

600 E Taylor St
Ste 4001
Sherman, TX 75090
Phone (903) 487-6552

5931 Crosslake Pkwy
Waco, TX 76712
Phone (254) 279-6199

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": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1912626045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 PORT ISABEL LN",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750716718",
            "telephone_number": "248-631-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 MEDICAL CENTER DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750691881",
            "telephone_number": "469-714-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTATREYA",
        "first_name": "VANAJAKSHI",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP70000791",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1089225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.