Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LYSETTE NKONGYO RN, APRN, PMHNP-BC
NPI 1538063094
Nurse Practitioner - Psychiatric/Mental Health in South Bloomfield, OH

Active since October 06, 2026
276 DOWLER DR, SOUTH BLOOMFIELD, OH 43103(859) 661-1763 Get Directions Write a Review

NPPES record added: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Oct 6, 2026 (2 updates tracked since 2026).

About Lysette Nkongyo Rn, Aprn, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYSETTE NKONGYO RN, APRN, PMHNP-BC (NPI 1538063094) is an individual psychiatric/mental health provider in South Bloomfield, Ohio, licensed in Ohio (APRN.CNP.0043672) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1538063094
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLYSETTE NKONGYOCredential: RN, APRN, PMHNP-BC
Location Address276 DOWLER DRSouth Bloomfield, OH 43103-9241
Mailing Address276 Dowler DrSouth Bloomfield, OH 43103-9241 · (850) 661-1763
Sole ProprietorNo
Enumeration DateOctober 6, 2026
Last NPPES UpdateOctober 15, 20262 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1538063094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · APRN.CNP.0043672
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.561844 (OH)
276 DOWLER DR, South Bloomfield, OH 43103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lysette Nkongyo's NPI number?

The NPI number for Lysette Nkongyo is 1538063094. It was assigned to this individual provider in the NPPES registry on October 6, 2026.

Where is Lysette Nkongyo located?

Lysette Nkongyo practices at 276 Dowler Dr, South Bloomfield, OH 43103. The listed phone number is (859) 661-1763.

What is Lysette Nkongyo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Lysette Nkongyo was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.