Individual provider Active NPI

Dirane Njong

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1962399634
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP70030195 Issued in WA
Practice address
3213 W Wheeler St Ste 1028
Seattle, WA 98199-3245
Phone
(000) 000-0000
NPI assigned
Jun 23, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3671778 ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP70030195 WA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X TPAN3741 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G186018 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 115454-23 NH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1037278 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 327861 AZ

Addresses

Primary practice location

3213 W Wheeler St Ste 1028
Seattle, WA 98199-3245

Mailing address

3213 W Wheeler St Ste 1028
Seattle, WA 98199-3245
Phone (206) 712-1656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260105000399 TX Practitioner - Nurse Practitioner 7810483427 Practice locations: Sugar Land, TX

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Sugar Land, TX 77479
Phone (559) 400-9956

4711 LJ Pkwy
Apt 13205
Sugar Land, TX 77479-4958

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
327861AZMDPsychiatric/Mental Health Nurse Practitioner
TPAN3741FLMDPsychiatric/Mental Health Nurse Practitioner
G186018IAMDPsychiatric/Mental Health Nurse Practitioner
3671778IDMDPsychiatric/Mental Health Nurse Practitioner
115454-23NHMDPsychiatric/Mental Health Nurse Practitioner
1037278TXMDPsychiatric/Mental Health Nurse Practitioner
AP70030195WAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1962399634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 W WHEELER ST STE 1028",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981993245",
            "telephone_number": "206-712-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3213 W WHEELER ST STE 1028",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981993245",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NJONG",
        "first_name": "DIRANE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "3671778",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP70030195",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "TPAN3741",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G186018",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "115454-23",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1037278",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "327861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.