Laura Adzoa Kumordzie, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1010018 Issued in TX

Practice address

4110 Guadalupe St
Austin, TX 78751-4223

Phone

(512) 419-2965

NPI assigned

Sep 8, 2020

Sex

Female

Sole proprietor

No

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Health and Human Services Commission

  dba Rio Grande State Center

  • Clinical Neuropsychologist
  • Harlingen, TX
  • NPI 1356414692
  Medicare reassignment NPD
• Health and Human Services Commission

  dba Austin State Hospital

  • Clinical Neuropsychologist
  • Austin, TX
  • NPI 1003823030
  NPD
• Health and Human Services Commission

  dba Big Spring State Hospital

  • Psychiatric Hospital
  • Big Spring, TX
  • NPI 1881600682
  NPD

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1396359261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19025 PENCIL CACTUS DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786605453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 GUADALUPE ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787514223",
            "telephone_number": "512-419-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMORDZIE",
        "first_name": "LAURA",
        "middle_name": "ADZOA",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1010018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shweta Kumar, M.D.
• Ullattil N Kumar, MD
• Kavitha Kumbum, M.D.
• Gene Henry Kummerer II, M.DIV., M.S., L.P.C.
• Julie Kummet, RDN
• Timothy Kundaje, MD
• Katarzyna Kundera Byrd
• Marc W Kundler, MD
• Monica Amrit Kundra
• Cho Y Kung, RN

• Psychiatric/Mental Health Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.