Active NPI
Mewded Mulugeta, CRNP
- Family Nurse Practitioner
- Harrisburg, PA
National Provider Identifier
1215397138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP015824
- Practice address
- 2401 Park Dr Ste 101
Harrisburg, PA 17110-9303 - Phone
- (717) 686-9842
- NPI assigned
- Mar 4, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP015824 | PA | Primary |
Addresses
Primary practice location
2401 Park Dr Ste 101
Harrisburg, PA 17110-9303
Mailing address
739 Euclid Ave
Lancaster, PA 17603-6841
Phone (717) 682-7546
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahpaffs,LLC | Past | Accepting new patients |
Interoperability endpoints
- mmulugeta@landmarkhealth-direct.org
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1275985814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1215397138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "739 EUCLID AVE",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176036841",
"telephone_number": "717-682-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 PARK DR STE 101",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171109303",
"telephone_number": "717-686-9842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULUGETA",
"first_name": "MEWDED",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-04",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP015824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.