Individual provider Active NPI

Mambo Jingla Ndingwan, DNP-FPMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1326675737
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP145249 Issued in TX
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

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN02295RIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Teresa Rejuvenating Psychiatry PLLC Psychiatric/Mental Health CurrentSince Sep 1, 2022 Accepting new patients
Supreme Medical Center LLC PastSince Feb 16, 2021 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.

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

Verify at the official NPI Registry.