Active NPI
Nkem Okoli, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Garland, TX
National Provider Identifier
1972195840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 1019599
- Practice address
- 1015 W Centerville Rd Ste 118
Garland, TX 75041-5929 - Phone
- (972) 807-6016
- NPI assigned
- Feb 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 202112094NP | OR | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1019599 | TX | Primary |
Addresses
Primary practice location
1015 W Centerville Rd Ste 118
Garland, TX 75041-5929
Mailing address
20119 Goss Hollow LN
Katy, TX 77449-0039
Phone (240) 351-7546
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202112094NP | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1019599 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permian Basin Community Centers for Mental Health & Mental Retardation | Current | Accepting new patients | |
| Permian Basin Community Centers for Mental Health & Mental Retardation | Current | Accepting new patients |
Locations
805 N 5th St
Alpine, TX 79830
Phone (432) 837-3373
401 E Illinois Ave
Ste 100
Midland, TX 79701
Phone (432) 570-3300
401 E Illinois Ave
Ste 300
Midland, TX 79701
Phone (432) 570-3342
600 N Grant Ave
Odessa, TX 79761
Phone (432) 335-8275
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Midland, TX
- NPI 1700976453
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Alpine, TX
- NPI 1851464119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1972195840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20119 GOSS HOLLOW LN",
"city": "KATY",
"state": "TX",
"postal_code": "774490039",
"telephone_number": "240-351-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 W CENTERVILLE RD STE 118",
"city": "GARLAND",
"state": "TX",
"postal_code": "750415929",
"telephone_number": "972-807-6016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKOLI",
"first_name": "NKEM",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-11",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "202112094NP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "1019599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.