Active NPI
Arabel Ambang Ajame
- Psychiatric/Mental Health Registered Nurse
- Dublin, OH
National Provider Identifier
1912470915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN.499922
- Practice address
- 525 Metro PL N Ste 100
Dublin, OH 43017-5343 - Phone
- (855) 289-1722
- NPI assigned
- Jan 2, 2019
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 17029.MEDS-IV | OH | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN.499922 | OH | Primary |
Addresses
Primary practice location
525 Metro PL N Ste 100
Dublin, OH 43017-5343
Mailing address
525 Metro PL N Ste 100
Dublin, OH 43017-5343
Phone (855) 289-1722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2910854 | Medicaid | OH |
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 |
|---|---|---|---|
| RN.499922 | OH | MD | Psychiatric/Mental Health Registered Nurse |
| 17029.MEDS-IV | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1912470915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 METRO PL N STE 100",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430175343",
"telephone_number": "855-289-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 METRO PL N STE 100",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430175343",
"telephone_number": "855-289-1722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJAME",
"first_name": "ARABEL",
"middle_name": "AMBANG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-02",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "17029.MEDS-IV",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "OH",
"license": "RN.499922",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2910854",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.