Individual provider Active NPI

Mundela Tshilanda

  • Nurse Practitioner
  • Irving, TX
National Provider Identifier
1194360644
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP141711 Issued in TX
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AP141711OtherTXNURSE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201027000081 TX Practitioner - Nurse Practitioner 0143640409 Reassigns benefits to 3 organizations

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
Dallas Nephrology AssociatesGroup PAC ID 3870403819, 156 clinicians

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

OrganizationSpecialtyStatusNew patients
Advanced Kidney Care of North Texas, P.L.L.C. CurrentSince Nov 9, 2020 Accepting new patients
Dallas Nephrology Associates CurrentSince Jan 3, 2022 Accepting new patients
Higher Ground Services LLC CurrentSince Dec 1, 2022 Accepting new patients
Higher Ground Services LLC Nurse Practitioner CurrentSince Jul 1, 2021 Accepting new patients
Dallas Nephrology Associates CurrentSince Jan 3, 2022 Accepting new patients
Advanced Kidney Care of North Texas, P.L.L.C. CurrentSince Nov 9, 2020 Accepting new patients
Northern Cochise Community Hospital Inc PastSince Nov 1, 2019 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

  • FHIR API: https://api.platform.athenahealth.com/2940/brand/1/csg/1/fhir/r4
  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.