Nche Mou-Bayong, BSN,PHN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

2342135 Issued in MN

Practice address

1558 E 80TH St
Bloomington, MN 55425-1158

Phone

(651) 354-2819

NPI assigned

Dec 6, 2024

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

Credentials

Bachelor on Science - Nursing

State licenses

Practice roles

Locations

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.

• Evident Social Services LLC

  • Clinic/Center
  • St Paul Park, MN
  • NPI 1649058652
  NPD Authorized official

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1407662265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4373 ARBOR DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551297585",
            "telephone_number": "651-354-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 E 80TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251158",
            "telephone_number": "651-354-2819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 Hudson Blvd N Ste 185",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "MN",
            "postal_code": "551287146",
            "country_code": "US",
            "telephone_number": "651-354-2819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOU-BAYONG",
        "first_name": "NCHE",
        "credential": "BSN,PHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "2342135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Jo-McMenemy Mortensen, LSC
• Thomas Osebe Morwabe
• Mosaic Counseling LLC
• James K Mosher, PHD
• Ivonne Marcela Mosquera-Schmidt, L.AC, LMT
• Madalyn Mouanoutoua, MSW, LICSW
• Mahdi Moussa
• Khadija Mowahed
• Lori Louise Mowbray, O.D.
• John D Mowlem, M.D.

• Addiction (Substance Use Disorder) Registered Nurse in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.