Joanna Ahounou PA

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

692426 Issued in TX

Legal business name

JOANNA AHOUNOU PA

Practice address

3109 6TH Ave
Suite B
Ft Worth, TX 76110-3800

Phone

(682) 312-7339

NPI assigned

Oct 12, 2013

Organization subpart

No

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

Authorized official

Name

Joanna Ahounou, PMHNPNPI 1750634002

Title

Nurse Practitioner

Phone

(817) 896-3547

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joanna N Ahounou, PMHNP

  • Nurse Practitioner
  • Ft Worth, TX
  • NPI 1750634002
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1381536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1326475153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54455",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760544455",
            "telephone_number": "817-896-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 6TH AVE",
            "address_2": "SUITE B",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761103800",
            "telephone_number": "682-312-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNA AHOUNOU PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-12",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "AHOUNOU",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "817-896-3547",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "692426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333737001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.