Individual provider Active NPI

Judi Mumm, FNP-C

  • Nurse Practitioner
  • Naples, FL
National Provider Identifier
1518505346
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11008645 Issued in FL
Practice address
936 Barcarmil Way
Naples, FL 34110-0903
Phone
(239) 265-3391
Fax
(239) 310-2035
NPI assigned
Dec 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 58657 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11008645 FL
Nurse Practitioner 363L00000X APRN11008645 FL Primary

Addresses

Primary practice location

936 Barcarmil Way
Naples, FL 34110-0903

Mailing address

936 Barcarmil Way
Naples, FL 34110-0903
Phone (239) 265-3391

Other practice location 1

9001 Tamiami Trl E
Naples, FL 34113-3397
Phone (941) 499-8721

Other practice location 2

1501 San Pedro Dr SE
Albuquerque, NM 87108-5180
Phone (505) 265-1711

Medicare participation

Medicare enrollment files
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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
38.98 of 100Reported as group
Quality
10.19
Promoting interoperability
36
Improvement activities
40
Cost
23.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11008645FLMDNurse Practitioner
58657NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David Lawrence Mental Health Center, Inc CurrentSince Apr 19, 2022 Accepting new patients
Willough Healthcare, Inc CurrentSince Oct 1, 2020 Accepting new patients

Locations

6075 Bathey Ln
Naples, FL 34116
Phone (239) 455-8500

7074 Grove Rd
Spring Hill, FL 34609
Phone (352) 540-9335

Organizations & group practices 2

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": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1518505346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 BARCARMIL WAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341100903",
            "telephone_number": "239-265-3391",
            "fax_number": "239-310-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 BARCARMIL WAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341100903",
            "telephone_number": "239-265-3391",
            "fax_number": "239-310-2035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9001 Tamiami Trl E",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341133397",
            "country_code": "US",
            "telephone_number": "941-499-8721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 San Pedro Dr SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871085180",
            "country_code": "US",
            "telephone_number": "505-265-1711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUMM",
        "first_name": "JUDI",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "58657",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11008645",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11008645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.