Nnene Nchack Egbe-Tambe

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1030646 Issued in TX

Practice address

5560 Mesa Springs Dr
Fort Worth, TX 76123-2120

Phone

(682) 477-3534

Fax

(682) 477-3602

NPI assigned

Feb 23, 2021

Sex

Female

Sole proprietor

No

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• A-V Support Services

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1699382663

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Leanonme Group LLC

  dba Leanonme Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Hill, TX
  • NPI 1043776834
  Medicare reassignment NPD
• Sai Vittala PLLC

  • Psychiatry Physician
  • Fort Worth, TX
  • NPI 1497134332
  Medicare reassignment NPD

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677888000000",
    "number": "1417541194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2656 S LOOP W STE 103",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545632",
            "telephone_number": "512-659-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 MESA SPRINGS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761232120",
            "telephone_number": "682-477-3534",
            "fax_number": "682-477-3602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2656 S Loop W Ste 103",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770545632",
            "country_code": "US",
            "telephone_number": "512-659-2728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2656 S Loop W Ste 103",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770545632",
            "country_code": "US",
            "telephone_number": "512-659-2728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4935 S Collins St",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760181191",
            "country_code": "US",
            "telephone_number": "682-477-3534",
            "fax_number": "682-477-3602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGBE-TAMBE",
        "first_name": "NNENE",
        "middle_name": "NCHACK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1030646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Edwards
• Dominique Ee
• Frood Eelani, DO
• Eem Enterprises, Inc. (Fort Worth Home Care Assistance)
• Shayna Dae Egan
• Emmanuella Egbonim, MPH
• John Erik Ege, LPC
• Jason Egenti, PHARMD.
• Lynne M Eger, MD
• Joshua A Egly, MD

• Psychiatric/Mental Health Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.