Jasmine Mbome, APRN-CNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1055014 Issued in TX

Practice address

350 North Sam Houston Parkway
East Suite B285
Houston, TX 77060

Phone

(832) 554-3516

NPI assigned

Dec 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1619635174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16134 INDIAN MILL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NORTH SAM HOUSTON PARKWAY",
            "address_2": "EAST SUITE B285",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77060",
            "telephone_number": "832-554-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBOME",
        "first_name": "JASMINE",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1055014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "beautifulmindpsychservices",
            "affiliation": "N",
            "address_1": "350 N Sam Houston Pkwy E Ste B285",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770603315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexi Mbogne, RN
• Caroline Njeri Mbogua, MD
• Patricia Zandile Mbola, GNP
• Stephen M Mbola, ANP
• Caroline Mbom, CRNA
• Edidiong Mbong
• Hayden Mensah Mbroh, PHD
• Vivian M Mbu, RN
• Sophie Mbua, APRN
• Ngozi D. Mbue, NP

• Psychiatric/Mental Health Nurse Practitioner in Houston, TX
• Providers in Houston, 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 Dec 2, 2021; 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.