Lori Faith Mundy, RN, CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

215908 Issued in SC

Practice address

905 Pope St
Newberry, SC 29108-1928

Phone

(803) 944-0427

NPI assigned

Oct 11, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1336659788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25980 SC HIGHWAY 34",
            "city": "SILVERSTREET",
            "state": "SC",
            "postal_code": "291459056",
            "telephone_number": "803-944-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 POPE ST",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291081928",
            "telephone_number": "803-944-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDY",
        "first_name": "LORI",
        "middle_name": "FAITH",
        "name_prefix": "Mrs.",
        "credential": "RN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "SC",
            "license": "215908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina J. Minick, R.N.
• Leslie Minick
• Cara Morris, SLT
• Jami Dawson Morris, LM
• Jonelle Morrison IX
• Jill Davis Murry, PT
• Madison Paige Musgrove, ADC-IP,CATP,SAS
• Jo Neel, RN
• Cheneir Neely, D.C.
• Kate Nelligan, LISW

• Diabetes Educator Registered Nurse in Newberry, SC
• Providers in Newberry, SC by specialty
• Diabetes Educator Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.