Carla Mundt

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

249343 Issued in AZ

Practice address

1925 W Orange Grove Rd Ste 105
Tucson, AZ 85704-1150

Phone

(520) 526-9699

NPI assigned

Dec 26, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Carla Kowalewski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Mosaic Infusion Solutions LLC

  • Infusion Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1255934626
  NPD
• Mosaic Infusion Solutions LLC

  • Infusion Therapy Clinic/Center
  • Anchorage, AK
  • NPI 1255067591
  NPD
• Mosaic Infusion Solutions LLC

  • Infusion Therapy Clinic/Center
  • Centennial, CO
  • NPI 1467016907
  NPD (past)

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

{
    "created_epoch": "1608940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1457948366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 S QUENTIN ST STE 50",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124531",
            "telephone_number": "720-282-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W ORANGE GROVE RD STE 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041150",
            "telephone_number": "520-526-9699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7898 E Acoma Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852603480",
            "country_code": "US",
            "telephone_number": "480-573-5165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNDT",
        "first_name": "CARLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-26",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "249343",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "249343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "KOWALEWSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Multicultural Counseling Center Inc
• Christine M Mulvey, SLP
• Amanda Lee Mulvihill, FNP-C
• David John Mumford, MS, LPC
• Mary Isabelle Mundo, MS
• Carla Ann Mundt, APRN
• Cesar Arturo Munguia Galaz, M.D.
• Jitender Munjal, MD
• Caroline Munoz Ramos, RBT
• Isabel Munoz-Tucker

• Family Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.