Individual provider Active NPI

Kathy Lammedal Mucha, FPMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1104193861
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP121269 Issued in TX
Practice address
3230 Remond Dr
Dallas, TX 75211-1619
Phone
(214) 743-1200
NPI assigned
Nov 23, 2011
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP121269 TX Primary

Addresses

Primary practice location

3230 Remond Dr
Dallas, TX 75211-1619

Mailing address

1881 Sylvan Ave Ste 200
Dallas, TX 75208-2031
Phone (214) 743-6159

Other practice location 1

1881 Sylvan Ave Ste 200
Dallas, TX 75208-2031
Phone (214) 743-1200

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
I20120110000507 TX Practitioner - Nurse Practitioner 9335315589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9708 Skillman St
Dallas, TX 75243-5150
Phone (214) 743-6159

Merit-based Incentive Payment System (MIPS)

Final score
75.31 of 100Reported as group
Quality
56.91
Promoting interoperability
52
Improvement activities
40
Cost
84.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP121269TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Mental Health & Mental Retardation Center CurrentSince Aug 29, 2012 Accepting new patients
Nazimuddin Mohammed MD PA CurrentSince Dec 1, 2024 Accepting new patients
BSW Geode Clinicians of Texas PLLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

610 S Watters Rd
Ste 130
Allen, TX 75013
Phone (469) 854-3263

1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (214) 743-1201

1353 N Westmoreland Rd
Dallas, TX 75211
Phone (214) 333-7015

1353 N Westmoreland Rd
Bldg B
Dallas, TX 75211
Phone (214) 331-0107

1380 River Bend Dr
Dallas, TX 75247
Phone (214) 743-1272

1881 Sylvan Ave
Ste 150
Dallas, TX 75208
Phone (214) 331-0107

1881 Sylvan Ave
Ste 200
Dallas, TX 75208
Phone (214) 331-0107

3230 Remond Dr
Dallas, TX 75211
Phone (214) 331-0109

11500 State Highway 121
Ste 510
Frisco, TX 75035
Phone (469) 200-4093

11500 State Highway 121
Ste 93
Frisco, TX 75035
Phone (469) 200-4093

11500 State Highway 121
Ste 930
Frisco, TX 75035
Phone (469) 200-4093

768 Bandit Trl
Keller, TX 76248
Phone (817) 865-3954

281 W Southlake Blvd
Bldg 10
Southlake, TX 76092
Phone (469) 200-4093

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1104193861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 SYLVAN AVE STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082031",
            "telephone_number": "214-743-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 REMOND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111619",
            "telephone_number": "214-743-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1881 Sylvan Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752082031",
            "country_code": "US",
            "telephone_number": "214-743-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUCHA",
        "first_name": "KATHY",
        "middle_name": "LAMMEDAL",
        "credential": "FPMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP121269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.