Individual provider Active NPI

Mirabel Alumba, FNP

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1356732259
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1008468 Issued in DC
Practice address
1220 12TH St SE Ste 120
Washington, DC 20003-3733
Phone
(202) 279-1817
NPI assigned
Feb 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1008468 DC Primary

Addresses

Primary practice location

1220 12TH St SE Ste 120
Washington, DC 20003-3733

Mailing address

7001 Ironbridge LN
Laurel, MD 20707-9483
Phone (301) 442-2744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220217001462 DC Practitioner - Nurse Practitioner 0345633210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Medical Clinic LLCGroup PAC ID 3870803737, 2 clinicians

Practice addresses (Care Compare)

10230 New Hampshire Ave
Suite 340
Silver Spring, MD 20903-1400
Phone (301) 750-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1008468DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Medical Clinic, LLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

10230 New Hampshire Ave
Ste 340
Silver Spring, MD 20903
Phone (301) 750-8000

Interoperability endpoints

  • Direct secure messaging: mirabel.alumba.1@14054.direct.athenahealth.com

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": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1356732259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 IRONBRIDGE LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207079483",
            "telephone_number": "301-442-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 12TH ST SE STE 120",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033733",
            "telephone_number": "202-279-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALUMBA",
        "first_name": "MIRABEL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1008468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.