Individual provider Active NPI

Uchenna Nebeolisa, NP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1992207872
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP136397 Issued in TX
Practice address
655 W Illinois Ave Ste 916
Dallas, TX 75224-1814
Phone
(214) 941-7611
NPI assigned
Mar 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP136397 TX Primary

Addresses

Primary practice location

655 W Illinois Ave Ste 916
Dallas, TX 75224-1814

Mailing address

122 W John Carpenter Fwy Ste 420
Irving, TX 75039-2014
Phone (972) 957-3000

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
I20180529001095 TX Practitioner - Nurse Practitioner 1557626363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topcare Medical Group IncGroup PAC ID 8426239153, 71 clinicians

Practice addresses (Care Compare)

1120 E Parker Rd
195 Clinicas Mi Doctor
Plano, TX 75074-5374
Phone (469) 298-1216

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Medical Group Inc Multi-Specialty CurrentSince Apr 8, 2018 Accepting new patients
Topcare Medical PA Multi-Specialty PastSince Apr 2, 2012 Accepting new patients

Locations

655 W Illinois Ave
Ste 916
Dallas, TX 75224
Phone (214) 941-7611

12377 Merit Dr
Ste 300
Dallas, TX 75251

229 NE 28th St
Ft Worth, TX 76164
Phone (817) 566-0478

410 E Pioneer Pkwy
Ste 300
Grand Prairie, TX 75051
Phone (469) 733-1890

10058A Long Point Rd
Houston, TX 77055
Phone (832) 380-3980

122 W John Carpenter Fwy
Ste 420
Irving, TX 75039

222 Las Colinas Blvd W
Ste 2000
Irving, TX 75039

1120 E Parker Rd
Ste 195
Plano, TX 75074
Phone (469) 298-1216

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": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1992207872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W JOHN CARPENTER FWY STE 420",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750392014",
            "telephone_number": "972-957-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W ILLINOIS AVE STE 916",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752241814",
            "telephone_number": "214-941-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEBEOLISA",
        "first_name": "UCHENNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP136397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.