Individual provider Active NPI

Nancy Mbongeh Ndamukong

  • Home Health Registered Nurse
  • Conroe, TX
National Provider Identifier
1336626779
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
882655 Issued in TX
Practice address
202 West Semands Street
Conroe, TX 77301
Phone
(936) 756-5598
Fax
(936) 249-2244
NPI assigned
Jul 27, 2018
Last updated
Jul 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 882655 TX Primary

Addresses

Primary practice location

202 West Semands Street
Conroe, TX 77301

Mailing address

202 West Semands Street
Conroe, TX 77301
Phone (936) 756-5598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
882655TXMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1336626779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WEST SEMANDS STREET",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77301",
            "telephone_number": "936-756-5598",
            "fax_number": "936-249-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 WEST SEMANDS STREET",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "77301",
            "telephone_number": "936-756-5598",
            "fax_number": "936-249-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDAMUKONG",
        "first_name": "NANCY",
        "middle_name": "MBONGEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "882655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.