Active NPI
Florence Jingwa Mbekem Tanjong
- Psychiatric/Mental Health Nurse Practitioner
- Reynoldsburg, OH
National Provider Identifier
1790110443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2024028452
- Practice address
- 1609 Dream CT
Reynoldsburg, OH 43068-1576 - Phone
- (614) 209-0250
- NPI assigned
- Sep 12, 2013
- Last updated
- Aug 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2024028452 | OH | Primary |
| Licensed Practical Nurse | 164W00000X | NP-117004-MEDS | OH |
Addresses
Primary practice location
1609 Dream CT
Reynoldsburg, OH 43068-1576
Mailing address
1609 Dream CT
Reynoldsburg, OH 43068-1576
Phone (614) 209-0250
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 |
|---|---|---|---|
| NP-117004-MEDS | OH | MD | Licensed Practical Nurse |
| 2024028452 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florence Jingwa Mbekemtanjong | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nursing Care Agency
- Reynoldsburg, OH
- NPI 1902239213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1790110443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 DREAM CT",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430681576",
"telephone_number": "614-209-0250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 DREAM CT",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430681576",
"telephone_number": "614-209-0250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBEKEM TANJONG",
"first_name": "FLORENCE",
"middle_name": "JINGWA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-12",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "2024028452",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "NP-117004-MEDS",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.