Active NPI
Mundela Tshilanda
- Nurse Practitioner
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP141711
- Practice address
- 2005 W Park Dr Ste 200
Irving, TX 75061-2034 - Phone
- (214) 358-2300
- Fax
- (214) 579-6984
- NPI assigned
- Nov 7, 2019
- Last updated
- Feb 21, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP141711 | TX | |
| Nurse Practitioner | 363L00000X | AP141711 | TX | Primary |
Addresses
Primary practice location
2005 W Park Dr Ste 200
Irving, TX 75061-2034
Mailing address
1000 Mockingbird Dr
Saginaw, TX 76131-4868
Other practice location 1
624 Yosemite Trl
Mesquite, TX 75149-2583
Phone (240) 422-6374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP141711 | Other | TX | NURSE PRACTITIONER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2005 W Park Dr
Suite 200
Irving, TX 75061-2034
Phone (214) 358-2300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Kidney Care of North Texas, P.L.L.C. | Current | Accepting new patients | |
| Dallas Nephrology Associates | Current | Accepting new patients | |
| Higher Ground Services LLC | Current | Accepting new patients | |
| Higher Ground Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Dallas Nephrology Associates | Current | Accepting new patients | |
| Advanced Kidney Care of North Texas, P.L.L.C. | Current | Accepting new patients | |
| Northern Cochise Community Hospital Inc | Past | Accepting new patients |
Locations
1150 N Bishop Ave
Ste 100
Dallas, TX 75208
Phone (214) 956-8200
1250 8th Ave
Ste 500
Ft Worth, TX 76104
Phone (817) 921-2153
7150 N President George Bush Hwy
Ste 205
Garland, TX 75044
Phone (972) 276-0139
2020 W State Highway 114
Ste 190
Grapevine, TX 76051
Phone 2143582300 ext. 6225
2005 W Park Dr
Ste 200
Irving, TX 75061
Phone (214) 366-6225
4708 Alliance Blvd
Ste 600
Plano, TX 75093
Phone (469) 467-0011
Interoperability endpoints
- https://api.platform.athenahealth.com/2940/brand/1/csg/1/fhir/r4
- https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
- mtshilanda52325@direct.acumenmd.com
Organizations & group practices 7
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.
-
- Nephrology Physician
- Dallas, TX
- NPI 1861440109
-
- Nephrology Physician
- Plano, TX
- NPI 1497981211
-
dba Higher Ground Group Home
- Nurse Practitioner
- Mesquite, TX
- NPI 1811426216
-
- Nephrology Physician
- Garland, TX
- NPI 1003042177
-
dba Dallas Nephrology Associates Vascular Center Dallas
- Ambulatory Surgical Clinic/Center
- Dallas, TX
- NPI 1053634030
-
dba Higher Ground Homecare Services
- Home Health Agency
- Mesquite, TX
- NPI 1053023291
-
- Critical Access Hospital
- Willcox, AZ
- NPI 1013060367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1194360644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MOCKINGBIRD DR",
"city": "SAGINAW",
"state": "TX",
"postal_code": "761314868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 W PARK DR STE 200",
"city": "IRVING",
"state": "TX",
"postal_code": "750612034",
"telephone_number": "214-358-2300",
"fax_number": "214-579-6984"
}
],
"practiceLocations": [
{
"address_1": "624 Yosemite Trl",
"address_purpose": "LOCATION",
"city": "Mesquite",
"state": "TX",
"postal_code": "751492583",
"country_code": "US",
"telephone_number": "240-422-6374",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TSHILANDA",
"first_name": "MUNDELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-07",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP141711",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP141711",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER",
"identifier": "AP141711",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.