Ida Madoka Lightfoot
RN, PMHNP | Nurse Practitioner - Psych/Mental Health
6404 International Pkwy Ste 1010, Plano
Texas, 75093-8346
972-267-1988
Ida Madoka Lightfoot is a Plano, Texas based nurse practitioner who is specialized as Psych/Mental Health NP. Active license number of Ida Madoka Lightfoot is 593409 for Psych/Mental Health NP in Texas. Her current practice location is 6404 International Pkwy Ste 1010, Plano. Patients can reach her at 972-267-1988. Ida Madoka Lightfoot is RN, PMHNP with specialization in Psych/Mental Health NP and her NPI number (Unique professional ID assigned by NPPES) is 1851397046.
Ida Madoka Lightfoot provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Ida Madoka Lightfoot speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ida Madoka Lightfoot |
| Specialization: | Nurse Practitioner - Psych/Mental Health (PMHNP) |
| Gender: | Female |
| Credentials: | RN, PMHNP |
| Practice Address: | 6404 International Pkwy Ste 1010, Plano,
Texas, 75093-8346 |
| Phone: | 972-267-1988 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1851397046 |
| NPI Enumeration Date: | 22 Jun, 2005 |
| NPI Last Update On: | 19 Jul, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ida Madoka Lightfoot are as mentioned below.
| License Number | Specialization | State | Status | |
| 593409 | Psych/Mental Health NP | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ida Madoka Lightfoot such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 368676801 | Medicaid | Texas | |
| P94062 | Other | Texas | MEDICARE UPIN |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ida Madoka Lightfoot
1241 Forest Park Dr,
Weatherford, Texas |
| Zip: | 76087-2805 |
| Phone Number: | 817-821-9978 |
Patients can reach Ida Madoka Lightfoot at
6404 International Pkwy Ste 1010, Plano, Texas or can
call to book an appointment on 972-267-1988.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.