Individual provider Active NPI

Mulumbwa Chishimba

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1518697697
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1074378 Issued in TX
Practice address
3230 Remond Dr
Dallas, TX 75211-1619
Phone
(214) 743-1200
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1074378 TX Primary

Addresses

Primary practice location

3230 Remond Dr
Dallas, TX 75211-1619

Mailing address

1881 Sylvan Ave Ste 200
Dallas, TX 75208-2031
Phone (214) 743-1200

Other practice location 1

1881 Sylvan Ave Ste 200
Dallas, TX 75208-2031
Phone (443) 600-0043

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mulumbwac@gmail.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220814000043 TX Practitioner - Nurse Practitioner 7214310978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas County Mental Health and Mental Retardation CenterGroup PAC ID 2062308091, 68 clinicians

Practice addresses (Care Compare)

1881 Sylvan Ave
Suite 200
Dallas, TX 75208-2031
Phone (214) 743-1200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1074378TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Mental Health & Mental Retardation Center CurrentSince Aug 8, 2022 Accepting new patients

Locations

1881 Sylvan Ave
Ste 200
Dallas, TX 75208
Phone (214) 331-0107

1881 Sylvan Ave
Dallas, TX 75208

3230 Remond Dr
Dallas, TX 75211
Phone (214) 331-0109

1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (214) 743-1201

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1518697697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 SYLVAN AVE STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082031",
            "telephone_number": "214-743-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 REMOND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111619",
            "telephone_number": "214-743-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1881 Sylvan Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752082031",
            "country_code": "US",
            "telephone_number": "443-600-0043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHISHIMBA",
        "first_name": "MULUMBWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1074378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mulumbwac@gmail.com",
            "affiliation": "N",
            "endpointDescription": "desktop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "nursing",
            "address_1": "9010 Markville Dr Apt 210",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752439381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.