Sasha Lounmala
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Muskogee, OK
NPI 1003584244 · NPPES record last updated Sep 8, 2021
Key facts
- NPI
- 1003584244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 53-80085-082 (KS)
- Practice address
- 1011 Honor Heights Dr # 118
Muskogee, OK 74401-1318 - Phone
- (918) 348-2236
- NPI assigned
- Sep 2, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Psych-Aprn LLC
County of Sedgwick
Practice addresses (Care Compare)
Wichita, KS 67235
Phone (316) 554-6711
1919 N Amidon Ave
Wichita, KS 67203-2118
3600 E Harry St
Comcare of Sedgwick County
Wichita, KS 67218-3713
Phone (316) 858-0333
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230124001615 | KS | Practitioner - Nurse Practitioner | 4981075249 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-80085-082 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych-Aprn, LLC | Current |
Accepting new patients | |
| County of Sedgwick | Current | Accepting new patients | |
| County of Sedgwick | Past | Accepting new patients |
Locations
635 N Main St
Wichita, KS 67203
Phone (316) 660-7500
1720 E Morris St
Ste 101
Wichita, KS 67211
Phone (316) 660-1900
1919 N Amidon Ave
Ste 130
Wichita, KS 67203
Phone (316) 660-7675
271 W 3rd St N
Ste 600
Wichita, KS 67202
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 53-80085-082 | KS | Yes |
Addresses
Primary practice location
1011 Honor Heights Dr # 118
Muskogee, OK 74401-1318
Mailing address
PO Box 364
Bixby, OK 74008-0364
Other practice location 1
8921 S Mingo Rd
Tulsa, OK 74133-5841
Phone (918) 628-2500
Other providers in Muskogee, OK
- Sara Raejon Logan
- Thomas Richard Loken
- Shannan Marie Loman
- Gentry Rebecca Longan
- Leslie Looper
- Weston Wayne Lovell
- Loving Involvement of the Elderly
- Demela Lowe
- Elizabeth Marie Lowe
- Whitney Lowe
All providers in Muskogee, OK · Psychiatric/Mental Health Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.