Active NPI
Lucy Chansa Mukuka
- Nurse's Aide
- Washington, DC
National Provider Identifier
1154012136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- A00185476
- Practice address
- 3701 Connecticut Ave NW Ste 1
Washington, DC 20008-4500 - Phone
- (240) 205-9408
- NPI assigned
- May 19, 2023
- Last updated
- May 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | A00185476 | MD | |
| Technician | 374700000X | MT0155913 | MD | |
| Nurse's Aide | 376K00000X | A00185476 | MD | Primary |
Addresses
Primary practice location
3701 Connecticut Ave NW Ste 1
Washington, DC 20008-4500
Mailing address
12217 Village Square Ter Apt 401
Rockville, MD 20852-1922
Phone (240) 205-9408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT0155913 | MD | MD | Technician |
| A00185476 | MD | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1154012136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12217 VILLAGE SQUARE TER APT 401",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208521922",
"telephone_number": "240-205-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 CONNECTICUT AVE NW STE 1",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200084500",
"telephone_number": "240-205-9408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUKUKA",
"first_name": "LUCY",
"middle_name": "CHANSA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-19",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MD",
"license": "A00185476",
"primary": false
},
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "MD",
"license": "MT0155913",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MD",
"license": "A00185476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.