Mutinta Yvonne Tembo, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11016497 Issued in FL

Practice address

9332 State Road 54 Ste 307
New Port Richey, FL 34655-1810

Phone

(727) 999-3311

Fax

(727) 478-4966

NPI assigned

Dec 13, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Awesome Minds Psychiatric LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wesley Chapel, FL
  • NPI 1528753290
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  Medicare reassignment NPD
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000
  Medicare reassignment NPD
• Meridian Behavioral Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Gainesville, FL
  • NPI 1134287154
  Medicare reassignment NPD
• SQ2 Medical PLLC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1427659002
  Medicare reassignment NPD
• Personal Recovery Network LLC

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869

  FL

  Medicare reassignment NPD
• MCR Health, Inc.

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745
  NPD
• Meridian Behavioral Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Ocala, FL
  • NPI 1033850797
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1003575523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9332 STATE ROAD 54 STE 307",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551810",
            "telephone_number": "727-999-3311",
            "fax_number": "727-478-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9332 STATE ROAD 54 STE 307",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346551810",
            "telephone_number": "727-999-3311",
            "fax_number": "727-478-4966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 N 12th Ave Bldg B",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "FL",
            "postal_code": "342668752",
            "country_code": "US",
            "telephone_number": "863-494-1242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEMBO",
        "first_name": "MUTINTA",
        "middle_name": "YVONNE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11016497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yohans Taylor
• Sherrie D Teddy, ODPA
• Timothy Andrew Tehan, PH.D.
• Shabnam Tehrani, DMD
• Richard Phillip Tellier, D.C.
• Tender Lovin and Care Inc
• Teresa McFetridge
• Bradley Kent Tharp
• Thatavarthy Family Dental PLLC
• The Bay Counseling Group, LLC

• Psychiatric/Mental Health Nurse Practitioner in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.