Tydriunsha Amponsah

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

TEMP201777 Issued in ND

Practice address

300 W Century Ave Ste B
Bismarck, ND 58503-4900

Phone

(701) 663-5373

NPI assigned

Feb 11, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Dakota Home Care, Inc.

  • Nursing Care Agency
  • Bismarck, ND
  • NPI 1780959809
  NPD

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1295540813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CENTURY AVE STE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585034900",
            "telephone_number": "701-663-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CENTURY AVE STE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585034900",
            "telephone_number": "701-663-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMPONSAH",
        "first_name": "TYDRIUNSHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "ND",
            "license": "TEMP201777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Drug Stores Delaware LLC
• American Drug Stores Delaware LLC
• Bridget Lee Amos, CRNA
• Micah Timothy Amos, CRNA
• Ishmeal Ampah
• Donna M Amundson, CDE
• Anchor Christian Counseling, Inc.
• Jesse N Andersen, DC
• Amy M Anderson, AU.D.
• Callie Marie Anderson, OTD, OTR/L

• Licensed Practical Nurse in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Licensed Practical Nurse in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.