Active NPI
Uchenna Nebeolisa, NP
- Family Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP136397
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Topcare Medical Group Inc | Multi-Specialty | Current | Accepting new patients |
| Topcare Medical PA | Multi-Specialty | Past | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.