Individual provider Active NPI

Comfort N Ebozue, PMHNP BC

  • Psychiatric/Mental Health Registered Nurse
  • Grand Prairie, TX
National Provider Identifier
1992349146
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
31939 Issued in TX
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

Updated by the provider on Apr 1, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
31939TXMDPsychiatric/Mental Health Registered Nurse
AP143460TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Medical Services PLLC CurrentSince Sep 17, 2025 Accepting new patients
Gold Behavioral Health Services PLLC Psychiatric/Mental Health CurrentSince Sep 17, 2025 Accepting new patients
Chemana Childrens Health Care Services Inc. PastSince Apr 30, 2003 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.

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

Verify at the official NPI Registry.