Individual provider Active NPI

Nyima Darboe

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Louisville, KY
National Provider Identifier
1801547542
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
4026491 Issued in OK
Practice address
901 S 4TH St
Louisville, KY 40203-3205
Phone
(903) 617-4334
NPI assigned
Jan 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 4026491 OK Primary

Addresses

Primary practice location

901 S 4TH St
Louisville, KY 40203-3205

Mailing address

5211 Oldshire Rd
Louisville, KY 40229-5218
Phone (903) 617-4334

Other identifiers 1

IdentifierTypeStateIssuer
87-4149142MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL N/a

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4026491OKMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Roots Care Living LLC CurrentSince Feb 19, 2025 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780099200000",
    "number": "1801547542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 OLDSHIRE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295218",
            "telephone_number": "903-617-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402033205",
            "telephone_number": "903-617-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARBOE",
        "first_name": "NYIMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "OK",
            "license": "4026491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87-4149142",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/a",
            "affiliation": "N",
            "address_1": "5211 Oldshire Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402295218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.