Individual provider Active NPI

Nkem Okoli, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Garland, TX
National Provider Identifier
1972195840
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1019599 Issued in TX
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

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202112094NPORMDPsychiatric/Mental Health Nurse Practitioner
1019599TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Permian Basin Community Centers for Mental Health & Mental Retardation Current Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation CurrentSince Dec 1, 2021 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.

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

Verify at the official NPI Registry.