Nkemngong Roseline Ndiachi, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

11032442 Issued in FL

Practice address

11125 N 52ND St
Temple Terrace, FL 33617-2842

Phone

(813) 453-3881

NPI assigned

May 13, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ultra Health Providers of FloridaGroup PAC ID 9335487255, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18512/brand/1/csg/1/fhir/r4

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.

• Ultra Health Providers of Florida

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1528549490

  FL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1366290504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 N 52ND ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336172842",
            "telephone_number": "813-453-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 N 52ND ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336172842",
            "telephone_number": "813-453-3881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10300 4th St N",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337163810",
            "country_code": "US",
            "telephone_number": "386-562-4899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDIACHI",
        "first_name": "NKEMNGONG",
        "middle_name": "ROSELINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LH0002X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "11032442",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "11032442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Murray Manor of Tampa, Inc
• Kindell Murray, RMHC
• Musculoskeletal Institute Chartered
• Musculoskeletal Institute Chartered
• Paula Napier
• Scott J Neal, PT
• Linda Neel, PTA
• Jill Gonzalez Nelson, APRN
• Kristin D. Nelson, PA-C
• Neogenomics Laboratories Inc

• Gerontology Nurse Practitioner in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.