Isabelle Bujibungi Mulumba

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1099954 Issued in TX

Practice address

1411 N Beckley Ave Ste 366
Dallas, TX 75203-1592

Phone

(214) 941-2777

Fax

(214) 941-2929

NPI assigned

Dec 22, 2022

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

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

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.

• Acclaim Physician Group, Inc

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1780076562
  Medicare reassignment
• C Daryl Curry MD PA

  • Pediatrics Physician
  • Dallas, TX
  • NPI 1407314941
  Medicare reassignment

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1396457149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE STE 366",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031592",
            "telephone_number": "214-941-2777",
            "fax_number": "214-941-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE STE 366",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031592",
            "telephone_number": "214-941-2777",
            "fax_number": "214-941-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULUMBA",
        "first_name": "ISABELLE",
        "middle_name": "BUJIBUNGI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1099954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Multi Specialty Clinic of Texas PLLC
• Multi-Choice Home Health Services Incorporated
• Multicultural Center
• Multigroup Physician Practice of Texas
• Elleni Mulugeta
• Paul Mulvany, RPH. PHARMD.
• William Patrick Mulvoy III, MD
• Brittany S Mumford, LPC
• Vijaya Mummadi, M.D.
• Brenda Mumphrey

• Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.