Individual provider Active NPI

Comfort Pokoo, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Prairie, TX
National Provider Identifier
1942860259
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP141240 Issued in TX
Practice address
2128 Hacienda CT
Grand Prairie, TX 75052-8844
Phone
(214) 517-0841
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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 AP141240 TX Primary

Addresses

Primary practice location

2128 Hacienda CT
Grand Prairie, TX 75052-8844

Mailing address

2128 Hacienda CT
Grand Prairie, TX 75052-8844
Phone (214) 517-0841

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
I20190923002518 TX Practitioner - Nurse Practitioner 2668702341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

304 S 22ND St
Temple, TX 76501-4726
Phone (254) 778-4841

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Counties Center for Mental Health & Mental Retardation SRVS CurrentSince Oct 15, 2019 Accepting new patients
Central Counties Center for Mental Health & Mental Retardation SRVS Current Accepting new patients

Locations

304 S 22nd St
Temple, TX 76501
Phone (254) 298-7000

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1942860259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 HACIENDA CT",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528844",
            "telephone_number": "214-517-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 HACIENDA CT",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528844",
            "telephone_number": "214-517-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POKOO",
        "first_name": "COMFORT",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP141240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.