Individual provider Active NPI

Nathalie Gigwishia Mahmud, NP STUDENT

  • Psychiatric/Mental Health Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1215193552
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1208779 Issued in TX
Practice address
1950 Aspen Ave
Lubbock, TX 79404-1211
Phone
(806) 740-7421
NPI assigned
Aug 6, 2008
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 226271 OK
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1208779 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X NU
Registered Nurse 163W00000X 867153 TX

Addresses

Primary practice location

1950 Aspen Ave
Lubbock, TX 79404-1211

Mailing address

13303 Redwood Trail LN
Rosharon, TX 77583-0436
Phone (832) 947-8450

Other names 1

  • Nathalie Gigwishia Kola Former name

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
I20260108003457 TX Practitioner - Nurse Practitioner 3173009131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lubbock Regional MHMR CenterGroup PAC ID 6800782376, 23 clinicians

Practice addresses (Care Compare)

1950 Aspen Ave
Lubbock, TX 79404-1211
Phone (806) 740-1400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
867153TXMDRegistered Nurse
226271OKMDPsychiatric/Mental Health Nurse Practitioner
1208779TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lubbock Regional MHMR Center Psychiatric/Mental Health CurrentSince Nov 1, 2025 Accepting new patients

Locations

1950 Aspen Ave
Lubbock, TX 79404
Phone (806) 740-1400

Organizations & group practices 1

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": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1215193552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13303 REDWOOD TRAIL LN",
            "city": "ROSHARON",
            "state": "TX",
            "postal_code": "775830436",
            "telephone_number": "832-947-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 ASPEN AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794041211",
            "telephone_number": "806-740-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMUD",
        "first_name": "NATHALIE",
        "middle_name": "GIGWISHIA",
        "name_prefix": "Miss",
        "credential": "NP STUDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "226271",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1208779",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "867153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATHALIE",
            "last_name": "KOLA",
            "middle_name": "GIGWISHIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.