Individual provider Active NPI

Anselm Nnadozie Onyeneke, PMHNP-BC / CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1992334528
Registry record updated Apr 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1002230 Issued in TX
Practice address
2909 E Arkansas LN Ste C
Arlington, TX 76010-6930
Phone
(817) 891-5557
NPI assigned
Apr 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 225531 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 78676 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1002230 TX Primary

Addresses

Primary practice location

2909 E Arkansas LN Ste C
Arlington, TX 76010-6930

Mailing address

7402 Lake Ridge Pkwy Apt 3218
Grand Prairie, TX 75054-0356
Phone (817) 891-5557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, CO, NH, NM5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20240904004586 TX Practitioner - Nurse Practitioner 0446790521 Reassigns benefits to 3 organizations
I20250128000587 AZ Practitioner - Nurse Practitioner 0446790521 Reassigns benefits to 2 organizations
I20250131001587 CO Practitioner - Nurse Practitioner 0446790521 Reassigns benefits to 1 organization
I20250205001555 NH Practitioner - Nurse Practitioner 0446790521 Reassigns benefits to 1 organization
I20251105003990 NM Practitioner - Nurse Practitioner 0446790521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliant Family Medicine and PsychiatryGroup PAC ID 6305161050, 4 clinicians

Practice addresses (Care Compare)

1801 S Carrier Pkwy
Grand Prairie, TX 75051-3702
Phone (972) 433-0088

2100 N State Hwy 360
Grand Prairie, TX 75050-1025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225531TXMDRegistered Nurse
78676NMMDPsychiatric/Mental Health Nurse Practitioner
1002230TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Family Medicine & Psychiatry Psychiatric/Mental Health CurrentSince May 19, 2025 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 23, 2024 Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

170 Commerce Way
Ste 200
Portsmouth, NH 03801
Phone (201) 293-7689

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

929 W Pioneer Pkwy
Ste A
Grand Prairie, TX 75051
Phone (972) 433-0088

1801 S Carrier Pkwy
Grand Prairie, TX 75051
Phone (972) 262-5272

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 3

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712966400000",
    "number": "1992334528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 LAKE RIDGE PKWY APT 3218",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750540356",
            "telephone_number": "817-891-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 E ARKANSAS LN STE C",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106930",
            "telephone_number": "817-891-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYENEKE",
        "first_name": "ANSELM",
        "middle_name": "NNADOZIE",
        "credential": "PMHNP-BC / CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2024-04-13",
        "certification_date": "2024-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "225531",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "78676",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1002230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.