Active NPI
Mambo Jingla Ndingwan, DNP-FPMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Austin, TX
National Provider Identifier
1326675737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP145249
- Practice address
- 3001 Bee Caves Rd Ste 220
Austin, TX 78746-5590 - Phone
- (855) 204-2502
- Fax
- (817) 783-4672
- NPI assigned
- Mar 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95026542 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP145249 | TX | Primary |
Addresses
Primary practice location
3001 Bee Caves Rd Ste 220
Austin, TX 78746-5590
Mailing address
3009 Skinner Dr
Lorena, TX 76655-3146
Phone (209) 719-0244
Other practice location 1
5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140
Phone (323) 205-7088 ext. 57088
Other names 1
- Dr. Mambo Jingla Ndingwan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN02295 | RI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teresa Rejuvenating Psychiatry PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Supreme Medical Center LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Waco, TX
- NPI 1255051066
-
- General Practice Physician
- Houston, TX
- NPI 1023573805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1326675737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 SKINNER DR",
"city": "LORENA",
"state": "TX",
"postal_code": "766553146",
"telephone_number": "209-719-0244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 BEE CAVES RD STE 220",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787465590",
"telephone_number": "855-204-2502",
"fax_number": "817-783-4672"
}
],
"practiceLocations": [
{
"address_1": "5201 Great America Pkwy Ste 320",
"address_purpose": "LOCATION",
"city": "Santa Clara",
"state": "CA",
"postal_code": "950541140",
"country_code": "US",
"telephone_number": "323-205-7088 x57088",
"fax_number": "833-419-0181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NDINGWAN",
"first_name": "MAMBO",
"middle_name": "JINGLA",
"credential": "DNP-FPMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-25",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95026542",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP145249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAMBO",
"last_name": "NDINGWAN",
"middle_name": "JINGLA",
"prefix": "DR.",
"credential": "DNP-FPMHNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.