Lilian Ndiripo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP028400 Issued in PA

Practice address

403 Navajo Dr
Royersford, PA 19468-1154

Phone

(484) 800-2386

NPI assigned

May 16, 2007

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

Other names 1

• Lilian Mambo Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Supportive Care of Pennsylvania LLC

  • Clinical Psychologist
  • Monsey, NY
  • NPI 1174992275

  PA

  Medicare reassignment NPD
• Asim Rana MD PC

  • Psychiatry Physician
  • Exton, PA
  • NPI 1962839167
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1265649883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 NAVAJO DR",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681154",
            "telephone_number": "484-800-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 NAVAJO DR",
            "city": "ROYERSFORD",
            "state": "PA",
            "postal_code": "194681154",
            "telephone_number": "484-800-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDIRIPO",
        "first_name": "LILIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2024-02-14",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN271198",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP028400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIAN",
            "last_name": "MAMBO",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Judith Ann Musselman, LPC
• Mypreference Homecare Services Limited Liability Company
• Kathleen A Nadler, OD
• Shweta S Naik Raikar, PHARMACIST
• Chetan Nayak
• Danny W. Neitz, O.D.
• Kelley Nolan, LCSW
• Emily Noon, DPT
• Noor Opulence Homecare
• Nourishing Hearts Counseling LLC

• All providers in Royersford, PA
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.