Organization Active NPI

Nkechi Ezema, PLLC

Doing business as Patterns Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1932768090
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NKECHI EZEMA, PLLC
Doing business as
Patterns Psychiatry
Practice address
3839 McKinney Ave Ste 155-2470
Dallas, TX 75204-1413
Phone
(214) 483-1993
Fax
(214) 301-3171
NPI assigned
Jun 11, 2019
Last updated
Feb 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Nkechi F Ezema, PMHNP-BCNPI 1780192666
Title
Owner
Phone
(214) 483-1993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3839 McKinney Ave Ste 155-2470
Dallas, TX 75204-1413

Mailing address

2900 W Park Row Dr Ste C
Pantego, TX 76013-2047
Phone (214) 483-1993

Other names 1

  • PATTERNS PSYCHIATRY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190814001473 TX Part B Supplier - Clinic/Group Practice 2163759150 Receives reassigned benefits from 2 practitioners
Practice locations: Arlington, TX; Pantego, TX

National Provider Directory

National Provider Directory

Locations

6043 W Interstate 20
Arlington, TX 76017
Phone (817) 533-0825

1106 N State Highway 360
Ste 300
Grand Prairie, TX 75050
Phone (817) 752-4613

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1932768090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W PARK ROW DR STE C",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760132047",
            "telephone_number": "214-483-1993",
            "fax_number": "214-301-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 MCKINNEY AVE STE 155-2470",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752041413",
            "telephone_number": "214-483-1993",
            "fax_number": "214-301-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NKECHI EZEMA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-11",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "EZEMA",
        "authorized_official_first_name": "NKECHI",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-483-1993",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATTERNS PSYCHIATRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.