Individual provider Active NPI

Kara D Muma, NNP

  • Neonatal Nurse Practitioner
  • Boulder, CO
National Provider Identifier
1346228046
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
4193 Issued in CO
Practice address
345 Maxwell Ave
Boulder, CO 80304-3972
Phone
(303) 544-5777
Fax
(303) 544-5775
NPI assigned
Jan 4, 2006
Last updated
Mar 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 4193 CO Primary

Addresses

Primary practice location

345 Maxwell Ave
Boulder, CO 80304-3972

Mailing address

4747 Arapahoe Ave
Boulder, CO 80303-1133
Phone (720) 854-7152

Other identifiers 1

IdentifierTypeStateIssuer
01505343MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE, NC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040824000254 CO Practitioner - Nurse Practitioner 5698749802 Reassigns benefits to 2 organizations
I20250113000978 NE Practitioner - Nurse Practitioner 5698749802 Reassigns benefits to 1 organization
I20260318000944 NC Practitioner - Nurse Practitioner 5698749802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

155 Memorial Dr
Pinehurst, NC 28374-8710

46 Memorial Dr
Pinehurst, NC 28374-8707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4193COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 6, 2026 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jan 1, 2021 Accepting new patients
Scripps Health Current Accepting new patients
Alegent Creighton Clinic CurrentSince Jan 10, 2025 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jan 1, 2021 Accepting new patients
FHPG, LLC CurrentSince Mar 9, 2026 Accepting new patients
FHPG, LLC CurrentSince Mar 9, 2026 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jan 6, 2026 Accepting new patients
Boulder Community Health Past Accepting new patients
Boulder Community Health Past Accepting new patients
Brighton Community Hospital Association Past Accepting new patients

Locations

777 Bannock St
Denver, CO 80204

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

2771 Solution Ctr
Chicago, IL 60677

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

Interoperability endpoints

  • Direct secure messaging: kmuma365367@scrippshlth.medalliesdirect.net

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1346228046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 ARAPAHOE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031133",
            "telephone_number": "720-854-7152",
            "fax_number": "720-854-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 MAXWELL AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043972",
            "telephone_number": "303-544-5777",
            "fax_number": "303-544-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMA",
        "first_name": "KARA",
        "middle_name": "D",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "CO",
            "license": "4193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01505343",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.