Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caroline Namirembe Mayengo, DNP, AGPNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1699419366

Caroline Namirembe Mayengo, DNP, AGPNP-C is a Nurse Practitioner in Los Angeles, California. Qualified in 2021, 5 years ago. Practices with Providence Medical Institute, a 336-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
Specialties on file
4
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

1655 S Western Ave
Los Angeles, CA 90006-5801
Phone: (323) 737-5200
Fax: (323) 737-5400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95020746 (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 95020746 (CA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 95020746 (CA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 95020746 (CA)

Record details

NPI number1699419366
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , AGPNP-C
Sole proprietorNo
NPI enumeratedApril 27, 2022
Last updated in NPPESApril 27, 2022
Certification dateApril 27, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Providence Medical Institute — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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