EVELYN TETANG MAMBO (NPI# 1528346855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528346855 |
Entity Type | Individual |
Full Name | EVELYN TETANG MAMBO |
Credential | NP |
Practice Address |
20326 Bandera Lake Ln Richmond TX 77407-1505 |
Practice Telephone | 5133285034 |
Mailing Telephone | 5133280534 |
Enumeration Date | 2011-08-03 |
Last Update Date | 2019-11-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
348189 | OH | Nursing Service Providers |
Y | 363L00000X | Nurse Practitioner | API43791 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 11416731 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
7928 Mill Creek Cir, West Chester, OH 450695805 | 5133285034 |
Street Address |
20326 BANDERA LAKE LN |
City | RICHMOND |
State | TX |
Zip Code | 77407-1505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770059883 | A Bright Care LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 20326 Bandera Lake Ln, Richmond, TX 77407-1505 | 2018-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760097752 | Houston Vascular Specialist Corp | Radiologic Technologist | 7103 S Peek Road, Richmond, TX 77407 | 2020-09-15 |
1841810660 | Amieda Services LLC | Registered Nurse | 18302 Palisade Rock Court, Richmond, TX 77407 | 2020-04-22 |
1396392643 | Tonya Staton | Counselor | 5830 Meadow Ranch Pkwy, Richmond, TX 77407 | 2019-08-21 |
1730732728 | Tso Richmond Aliana Pa | Optometrist | 10117 W. Grand Parkway South, Suite 101, Richmond, TX 77407 | 2019-07-19 |
1578115275 | H&a Orthodontics | Dentist | 16733 W Airport Blvd, Building A, Suite 2, Richmond, TX 77407 | 2019-07-12 |
1285299933 | Divine Providers, Inc. | Technician | 18947 Pine Harvest Ln, Richmond, TX 77407 | 2019-05-08 |
1457810566 | Onwueme, Pllc | Clinic/Center | 7324 Grand Mission Blvd, Suite #100, Richmond, TX 77407 | 2019-03-18 |
1285115758 | Cz Eye Care, Pllc | Optometrist | 18310 West Airport, Suite 900, Richmond, TX 77407 | 2018-08-23 |
1417438821 | Glory Ukadike | Registered Nurse | 7518 Boxwood Ridge Ln, Richmond, TX 77407 | 2018-08-23 |
1699254318 | Blvd Dentistry Richmond Pllc | Dentist | 18320 W. Airport Rd, Suite 200, Richmond, TX 77407 | 2018-08-13 |
Find all providers in zip 77407 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962038570 | Samantha Montgomery Warren | Nurse Practitioner | 3900 Westerre Parkway, Suite 300 Pmb# 308, Richmond, VA 23233 | 2020-03-15 |
1053956508 | Ihechi Ngozi Nwosuocha | Nurse Practitioner | 20010 Ballinger Ridge Ct, Richmond, TX 77407-4057 | 2019-11-07 |
1154976314 | Amanda Piper | Nurse Practitioner | 2200 Pump Rd Ste 200, Richmond, VA 23233-3539 | 2019-08-05 |
1083273676 | Winifred Onyali | Nurse Practitioner | 11222 Oudney Ct, Richmond, TX 77407-1883 | 2019-06-07 |
1740759182 | Houssam Mahmoud Mozeyen | Nurse Practitioner | 5719 Indigo Trails Dr, Richmond, TX 77469 | 2018-11-15 |
1801365168 | Rosmond Adams Oberry | Nurse Practitioner | 7101 Jahnke Rd Ste 550s, Richmond, VA 23225-4017 | 2018-11-15 |
1780166090 | Todd A Johnson | Nurse Practitioner | 21530 Barrett Knolls Dr, Richmond, TX 77406-5300 | 2018-09-04 |
1053892844 | Christina Lack | Nurse Practitioner | 5855 Bremo Rd Ste 208, Richmond, VA 23226-1922 | 2018-08-28 |
1073002580 | Oyebola Temitope Oyekan | Nurse Practitioner | 7615 Northfork Hollow Ln, Richmond, TX 77407-2285 | 2018-05-09 |
1851897763 | Eno Ubaha | Nurse Practitioner | 17102 Winter Hedge Ct, Richmond, TX 77407-2602 | 2018-04-02 |
Find all providers in RICHMOND |
Please comment or provide details below to improve the information on EVELYN TETANG MAMBO.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.