Individual provider Active NPI

Ginette Tchiengang, APRN

  • Family Nurse Practitioner
  • Langston, OK
National Provider Identifier
1073985172
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
82545 Issued in OK
Practice address
300 Martin L. King
Langston, OK 73050-1253
Phone
(405) 466-2535
Fax
(405) 419-9867
NPI assigned
Oct 28, 2015
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 82545 OK Primary

Addresses

Primary practice location

300 Martin L. King
Langston, OK 73050-1253

Mailing address

PO Box 30589
Midwest City, OK 73140-3589
Phone (405) 769-3301

Other practice location 1

130 N Broadway Ave
Shawnee, OK 74801-6910
Phone (405) 395-0399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20240209003197 OK Practitioner - Nurse Practitioner 4486097011 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
82545OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers Inc. CurrentSince Jan 3, 2024 Accepting new patients
Community Health Centers, Inc. CurrentSince Jan 3, 2024 Accepting new patients
Summit Medical Center Past Accepting new patients
Community Health Centers Inc. PastSince May 3, 2020 Accepting new patients

Locations

5301 S Dimple Dr
Oklahoma City, OK 73135
Phone (405) 674-0028

12716 NE 36th St
Spencer, OK 73084
Phone 40576933011254

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1073985172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30589",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731403589",
            "telephone_number": "405-769-3301",
            "fax_number": "405-769-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MARTIN L. KING",
            "city": "LANGSTON",
            "state": "OK",
            "postal_code": "730501253",
            "telephone_number": "405-466-2535",
            "fax_number": "405-419-9867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 N Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "OK",
            "postal_code": "748016910",
            "country_code": "US",
            "telephone_number": "405-395-0399",
            "fax_number": "405-395-0330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TCHIENGANG",
        "first_name": "GINETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "82545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langston, OK

Sources for this page

Verify at the official NPI Registry.