Individual provider Active NPI

John Tambe Ayamba, MASTER'S IN THEOLOGY

  • Case Manager/Care Coordinator
  • Oklahoma City, OK
National Provider Identifier
1700328259
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
CM11 Issued in OK
Practice address
5400 NW 23Rd St
Suite 200
Oklahoma City, OK 73127-2367
Phone
(202) 802-5997
NPI assigned
Nov 15, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CM11 OK Primary

Addresses

Primary practice location

5400 NW 23Rd St
Suite 200
Oklahoma City, OK 73127-2367

Mailing address

2712 N Meridian Ave
Apt 253
Oklahoma City, OK 73107-1067
Phone (202) 802-5997

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

State licenses

LicenseStateTypeSpecialty
CM11OKMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1700328259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 N MERIDIAN AVE",
            "address_2": "APT 253",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731071067",
            "telephone_number": "202-802-5997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 NW 23RD ST",
            "address_2": "SUITE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731272367",
            "telephone_number": "202-802-5997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYAMBA",
        "first_name": "JOHN",
        "middle_name": "TAMBE",
        "name_prefix": "Mr.",
        "credential": "MASTER'S IN THEOLOGY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OK",
            "license": "CM11",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.