Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Martina O Ezigbo

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1679285472

Martina O Ezigbo is a Nurse Practitioner in Seattle, Washington. Qualified in 2022, 4 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
4
Licensed in
WA
In the registry since
2022
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Practice location Address checks out

101 Elliott Ave W Ste 500
Seattle, WA 98119-4292
Phone: (425) 640-7009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2100 N Hwy 360 Ste 405b, Grand Prairie, TX 75050-1025 — (682) 453-6176

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP61594748 (WA)

Record details

NPI number1679285472
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 23, 2022
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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