Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ida Madoka Lightfoot, RN, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1851397046

Ida Madoka Lightfoot, RN, PMHNP is a Nurse Practitioner in Plano, Texas. Qualified in 1993, 33 years ago. Practices with Psychiatric Medical Associates, PA, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
33
Licensed in
TX
In the registry since
2005
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

6404 International Pkwy Ste 1010
Plano, TX 75093-8346
Phone: (972) 267-1988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 593409 (TX)

Record details

NPI number1851397046
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , PMHNP
Sole proprietorYes
NPI enumeratedJune 22, 2005
Last updated in NPPESJuly 19, 2021
Certification dateJuly 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Psychiatric Medical Associates, Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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