MEDICARE: DORIS CHIKAODIRI OKONKWO NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	ACOO8354	MD
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP70054579	WA
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	86661	NM
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1067281	TX

General Provider Information

NPI Number	:	1730040429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DORIS CHIKAODIRI OKONKWO NP

Provider Business Mailing Address
First Line	:	3454 N BELT LINE RD APT 3092
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-7814
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3454 N BELT LINE RD APT 3092
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75062-7814
Country	:	US
Telephone Number	:	254-987-1609
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/21/2025
Last Update Date	:	02/12/2026

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