Active NPI
Comfort N Ebozue, PMHNP BC
- Psychiatric/Mental Health Registered Nurse
- Grand Prairie, TX
National Provider Identifier
1992349146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 31939
- Practice address
- 2504 Lost Mesa
Grand Prairie, TX 75052-7893 - Phone
- (214) 677-3028
- NPI assigned
- Oct 31, 2019
- 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 Registered Nurse | 163WP0808X | 31939 | TX | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP143460 | TX |
Addresses
Primary practice location
2504 Lost Mesa
Grand Prairie, TX 75052-7893
Mailing address
2504 Lost Mesa
Grand Prairie, TX 75052-7893
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200728000264 | TX | Practitioner - Nurse Practitioner | 6608841010 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31939 | TX | MD | Psychiatric/Mental Health Registered Nurse |
| AP143460 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gold Medical Services PLLC | Current | Accepting new patients | |
| Gold Behavioral Health Services PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Chemana Childrens Health Care Services Inc. | Past | Accepting new patients |
Locations
1148 W Pioneer Pkwy
Ste F
Arlington, TX 76013
Phone (972) 352-1764
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Arlington, TX
- NPI 1578436903
Psychiatric/Mental Health, TX
-
- Family Nurse Practitioner
- Arlington, TX
- NPI 1134091564
-
- Home Health Agency
- Mesquite, TX
- NPI 1962459511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1992349146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 LOST MESA",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750527893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 LOST MESA",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750527893",
"telephone_number": "214-677-3028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBOZUE",
"first_name": "COMFORT",
"middle_name": "N",
"credential": "PMHNP BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-31",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "TX",
"license": "31939",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP143460",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.