Individual provider Active NPI

Lucy Mukundi, DNP

  • Adult Health Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1306514146
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R196783 Issued in MD
Practice address
2510 Saint Paul St Ste 1
Baltimore, MD 21218-4760
Phone
(410) 246-4876
Fax
(410) 528-4513
NPI assigned
Sep 4, 2021
Last updated
May 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R196783 MD Primary

Addresses

Primary practice location

2510 Saint Paul St Ste 1
Baltimore, MD 21218-4760

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220502000138 MD Practitioner - Nurse Practitioner 0143617688 Reassigns benefits to 1 organization
I20231012003641 DC Practitioner - Nurse Practitioner 0143617688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Johns Hopkins University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
AIDS Healthcare FoundationGroup PAC ID 2668369109, shared by 56 NPIs, 101 clinicians

Practice addresses (Care Compare)

11 E Lexington St
Suite 100
Baltimore, MD 21202-1732
Phone (410) 246-4876

2141 K St NW
Suite 707
Washington, DC 20037-1810
Phone (202) 678-8099

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as group
Quality
64.78
Improvement activities
40
Cost
79.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R196783MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Healthcare Foundation Current Accepting new patients
AIDS Healthcare Foundation CurrentSince Feb 22, 2022 Accepting new patients
AIDS Healthcare Foundation CurrentSince Jul 25, 2023 Accepting new patients
AIDS Healthcare Foundation CurrentSince Feb 22, 2022 Accepting new patients
AIDS Healthcare Foundation Current Accepting new patients
AIDS Healthcare Foundation Past Accepting new patients

Locations

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

2141 K St NW
Ste 707
Washington, DC 20037
Phone (202) 293-5382

650 Pennsylvania Ave SE
Ste 310
Washington, DC 20003
Phone (202) 350-5000

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

11 E Lexington St
Ste 100
Baltimore, MD 21202
Phone (410) 246-4876

2510 Saint Paul St
Ste 1
Baltimore, MD 21218
Phone (410) 246-4876

4302 Saint Barnabas Rd
Ste B
Temple Hills, MD 20748
Phone (301) 423-1071

Organizations & group practices 6

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": "1630713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1306514146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 SAINT PAUL ST STE 1",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184760",
            "telephone_number": "410-246-4876",
            "fax_number": "410-528-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKUNDI",
        "first_name": "LUCY",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-04",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R196783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.