Abara Dibaki, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1115966 Issued in TX

Practice address

318 W Belt Line Rd Ste 304
Cedar Hill, TX 75104-1103

Phone

(972) 972-4767

NPI assigned

Apr 18, 2023

Last updated

Apr 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brazos Valley Community Action Agency IncGroup PAC ID 4284542127, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Brazos Valley Community Action Agency, Inc.

  dba HealthPoint

  • Federally Qualified Health Center (FQHC)
  • Bryan, TX
  • NPI 1649265646
  Medicare reassignment Care Compare group NPD
• Mental Health Specialty Group PA

  dba Rula Health

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  WA

  Medicare reassignment NPD
• Leanonme Group LLC

  dba Leanonme Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Hill, TX
  • NPI 1043776834
  NPD Authorized official
• Brazos Valley Community Action Agency, Inc.

  dba HealthPoint

  • Federally Qualified Health Center (FQHC)
  • Navasota, TX
  • NPI 1700973187
  NPD

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1962199174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W BELT LINE RD STE 304",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751041103",
            "telephone_number": "972-972-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W BELT LINE RD STE 304",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751041103",
            "telephone_number": "972-972-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBAKI",
        "first_name": "ABARA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1115966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermatology Associates of Uptown, PA
• Tenisha Renee Derrick
• Desert Love Community Development
• Dianne Desimio
• Devine Senior Care LLC,Dba Home Instead (Home Instead)
• Atemnkeng Fonkem Dibaki, PMHNP-BC
• Direct Mental Health PLLC
• Divine Touch Chiropractic
• Divinity Youth and Family Services
• Crystal Kay Dixon, PHARM.D.

• Psychiatric/Mental Health Nurse Practitioner in Cedar Hill, TX
• Providers in Cedar Hill, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.