Individual provider Active NPI

Winifred Uzoigwe

  • Psychiatric/Mental Health Nurse Practitioner
  • Desoto, TX
National Provider Identifier
1922712470
Registry record updated Jul 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1071632 Issued in TX
Practice address
941 York Dr
Desoto, TX 75115-2065
Phone
(214) 861-6189
NPI assigned
Jan 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1071632 TX Primary

Addresses

Primary practice location

941 York Dr
Desoto, TX 75115-2065

Mailing address

941 York Dr Ste 205
Desoto, TX 75115-2066
Phone (972) 283-6286

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
I20241107004310 TX Practitioner - Nurse Practitioner 4385178730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raj.Shiwach, M.D., P.a.Group PAC ID 4587744560, 8 clinicians

Practice addresses (Care Compare)

941 York Dr
Suite 200
Desoto, TX 75115-2066
Phone (972) 283-6286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Raj Shiwach, MD, PA CurrentSince Jul 25, 2024 Accepting new patients
Albert Boyd MD PA Past Accepting new patients

Locations

941 York Dr
Ste 200
Desoto, TX 75115
Phone (972) 283-6286

941 York Dr
Ste 205
Desoto, TX 75115
Phone (972) 283-6286

3372 Garden Brook Dr
Farmers Branch, TX 75234

Organizations & group practices 2

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": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1922712470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 YORK DR STE 205",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152066",
            "telephone_number": "972-283-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 YORK DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152065",
            "telephone_number": "214-861-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UZOIGWE",
        "first_name": "WINIFRED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1071632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.