Bezankeng Damasius Wanatu

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0033623 Issued in OH

Practice address

2100 Stella CT
Columbus, OH 43215-1011

Phone

(614) 252-8402

Fax

(614) 223-3951

NPI assigned

Apr 7, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sustainers Healthcare LLC

  • Home Health Agency
  • Westerville, OH
  • NPI 1043936115
  NPD Authorized official
• Alvis Inc

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1386993350
  NPD (past)

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1407541188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 FOREST OAK LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432298814",
            "telephone_number": "614-500-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STELLA CT",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151011",
            "telephone_number": "614-252-8402",
            "fax_number": "614-223-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANATU",
        "first_name": "BEZANKENG",
        "middle_name": "DAMASIUS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-07",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0033623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris Elaine Walzak, MD
• Trinean Wamah, CNP
• Emily Wampler, LISW
• Karen Wampler
• Joseph Chia-En Wan, MD
• Robert H. Wander, LMT
• Alan C Wang, MD
• Bryan Pao-Hua Wang, MD
• Chien Y Wang, MD
• David Dehui Wang, L.AC PH.D

• Psychiatric/Mental Health Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.