Xtra Care Clinic LLC
NPI 1699440214 · Psychiatric/Mental Health Nurse Practitioner · Dallas, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Xtra Care Clinic LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Dallas, TX (NPI 1699440214).
Provider details
- NPI number
- 1699440214
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Evelyne Imah, Owner(972) 365-0084
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-08-16
- Last updated
- 2022-01-18
- Certified
- 2022-01-18
Frequently asked questions
- What is Xtra Care Clinic LLC's NPI number?
- Xtra Care Clinic LLC's National Provider Identifier (NPI) is 1699440214, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Xtra Care Clinic LLC?
- Xtra Care Clinic LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Xtra Care Clinic LLC located?
- Xtra Care Clinic LLC's practice location on file with NPPES is 10605 Boomer Cir Ste 105, Dallas, TX 75238-5392.
- What is Xtra Care Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Xtra Care Clinic LLC is (972) 365-0084.
- Does Xtra Care Clinic LLC accept Medicare?
- Xtra Care Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Xtra Care Clinic LLC?
- The authorized official listed on Xtra Care Clinic LLC's NPPES record is Evelyne Imah, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Xtra Care Clinic LLC's NPI active?
- Yes — Xtra Care Clinic LLC's NPI (1699440214) is active in the NPPES registry as of the last update on 2022-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.