Active NPI
Martha Mwale Mulenga
- Family Nurse Practitioner
- Lakewood, CO
National Provider Identifier
1265154371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RNP280586
- Practice address
- 8405 W Alameda Ave
Lakewood, CO 80226-2908 - Phone
- (720) 547-9162
- NPI assigned
- Sep 15, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RNP280586 | AZ | Primary |
Addresses
Primary practice location
8405 W Alameda Ave
Lakewood, CO 80226-2908
Mailing address
11 E Orange Grove Rd Apt 1723
Tucson, AZ 85704-5525
Phone (856) 885-3059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- 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, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
222 N Pacific Coast Hwy
Suite 1420
El Segundo, CA 90245-5648
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNP280586 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Marriott Medical Corp | Current | Accepting new patients |
Locations
222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245
104 Lois Ln
Colorado Springs, CO 80904
Phone (303) 289-1848
8405 W Alameda Ave
Lakewood, CO 80226
Phone (720) 974-5400
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765929600000",
"number": "1265154371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 E ORANGE GROVE RD APT 1723",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857045525",
"telephone_number": "856-885-3059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8405 W ALAMEDA AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802262908",
"telephone_number": "720-547-9162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULENGA",
"first_name": "MARTHA",
"middle_name": "MWALE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-15",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RNP280586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.