Individual provider Active NPI

Cynthia Sewoyeba, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Prairie, TX
National Provider Identifier
1922585843
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1147116 Issued in TX
Practice address
2305 Oak LN
Grand Prairie, TX 75051-4896
Phone
(469) 626-8195
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 949223 TX
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 1147116 TX Primary

Addresses

Primary practice location

2305 Oak LN
Grand Prairie, TX 75051-4896

Mailing address

2305 Oak Lane
Grand Prairie, TX 75051

Medicare participation

Medicare enrollment files
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
949223TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Keturah Health, LLC Single Specialty CurrentSince Oct 31, 2024 Accepting new patients

Locations

750 E US Highway 80
Ste 200612
Forney, TX 75126

2455 Robinson Rd
#100
Grand Prairie, TX 75051
Phone (469) 626-8195

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1922585843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 OAK LANE",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 OAK LN",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514896",
            "telephone_number": "469-626-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWOYEBA",
        "first_name": "CYNTHIA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2024-11-07",
        "certification_date": "2024-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "949223",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1147116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.