Patricia N Mulubah

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

9533 Jeremiah Dr Apt 318
Fort Worth, TX 76108-5950

Phone

(682) 777-6019

NPI assigned

Aug 9, 2021

Last updated

Aug 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: gabe-pat@mountainofgracehomehealth.net

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.

• Mountain of Grace Homehealth,LLC

  • Personal Care Attendant
  • Fort Worth, TX
  • NPI 1053039917

  Single Specialty

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1306511738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9533 JEREMIAH DR APT 318",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761085950",
            "telephone_number": "682-777-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9533 JEREMIAH DR APT 318",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761085950",
            "telephone_number": "682-777-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULUBAH",
        "first_name": "PATRICIA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "82-3151599",
            "identifier": "82-3151599",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gabe-Pat@mountainofgracehomehealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9533 Jeremiah Dr Apt 318",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761085950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Mullins
• Kimberly Dianne Mulson, M.D.
• Multi-Medical Inc
• Multi-Script Pharmacy LLC
• Multispecialty Health Network of Texas LLC
• Therese Muluh
• Jessicah Mulvey, BS, IONM
• Diana I Mummert, MD
• Ashleigh Mumphord, BS, IONM
• Alhaji Mahama Mumuni, PAC

• Nurse's Aide in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Nurse's Aide in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.