Individual provider Active NPI

Nadine Flore Emaha Tchinang

  • Gerontology Nurse Practitioner
  • Liberty TWP, OH
National Provider Identifier
1376956599
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
023579 Issued in OH
Practice address
5642 Safari Dr
Liberty TWP, OH 45044-8672
Phone
(513) 293-8186
NPI assigned
Jun 5, 2014
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 375077 OH
Gerontology Nurse Practitioner 363LG0600X 023579 OH Primary

Addresses

Primary practice location

5642 Safari Dr
Liberty TWP, OH 45044-8672

Mailing address

5642 Safari Dr
Liberty TWP, OH 45044-8672
Phone (513) 293-8186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20190103001623 OH Practitioner - Nurse Practitioner 2769728252 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
375077OHMDRegistered Nurse
023579OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bien Etre Home Care CurrentSince Jan 22, 2023 Accepting new patients
Crossroads Hospice of Cincinnati CurrentSince Nov 27, 2018 Accepting new patients

Locations

4380 Glendale Milford Rd
Blue Ash, OH 45242
Phone (513) 793-5070

10810 E 45th St
Ste 300
Tulsa, OK 74146

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1376956599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5642 SAFARI DR",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450448672",
            "telephone_number": "513-293-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5642 SAFARI DR",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450448672",
            "telephone_number": "513-293-8186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHINANG",
        "first_name": "NADINE",
        "middle_name": "FLORE EMAHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "375077",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "023579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty TWP, OH

Sources for this page

Verify at the official NPI Registry.