Individual provider Active NPI

Miltone Mawala Nyambu

  • Psychiatric/Mental Health Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1427971001
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5025093 Issued in NC
Practice address
500 W Friendly Ave Ste 100a
Greensboro, NC 27401-6130
Phone
(336) 938-0077
Fax
(336) 232-1516
NPI assigned
Jul 31, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5025093 NC Primary

Addresses

Primary practice location

500 W Friendly Ave Ste 100a
Greensboro, NC 27401-6130

Mailing address

1112 Dartmouth Dr
Mebane, NC 27302-7838
Phone (336) 938-0077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1427971001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 DARTMOUTH DR",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273027838",
            "telephone_number": "336-938-0077",
            "fax_number": "336-232-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W FRIENDLY AVE STE 100A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016130",
            "telephone_number": "336-938-0077",
            "fax_number": "336-232-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYAMBU",
        "first_name": "MILTONE",
        "middle_name": "MAWALA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5025093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.