Active NPI
John Tambe Ayamba, MASTER'S IN THEOLOGY
- Case Manager/Care Coordinator
- Oklahoma City, OK
National Provider Identifier
1700328259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- CM11
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CM11 | OK | MD | Case 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.