Lydia Kawudha, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024191086 Issued in VA

Practice address

3330 Bourbon St
Fredericksburg, VA 22408-7333

Phone

(540) 782-3620

Fax

(540) 227-4591

NPI assigned

Sep 17, 2024

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 VA, DC, OR3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Aligned Minds Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Fredericksburg, VA
  • NPI 1295624849
  Medicare reassignment NPD Authorized official
• Holistic Psychiatry and Medical Center LLC

  • Multi-Specialty Clinic/Center
  • Stafford, VA
  • NPI 1184393159
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC

  Medicare reassignment
• Oregon Behavioral Health Solutions, LLC

  • Psychiatry Physician
  • Portland, OR
  • NPI 1992525620
  Medicare reassignment
• Tandem Counseling & Consulting, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Roanoke, VA
  • NPI 1467117143

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1528895398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 BOURBON ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087333",
            "telephone_number": "540-782-3620",
            "fax_number": "540-227-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 BOURBON ST",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087333",
            "telephone_number": "540-782-3620",
            "fax_number": "540-227-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWUDHA",
        "first_name": "LYDIA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024191086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald R Kauder, MD
• Tamara B Kauder, SLP
• Gregory J. Kauffman, M.D.
• Anantpreet Kaur
• Abdul Alpha Kawa, ACNPC-AG, PMHNP
• Kays Kare Services
• Taskeen Kazmi
• Moses D Kear, MD
• Zechariah Lee Kearns
• Selomie Mequanint Kebede, M.D

• Psychiatric/Mental Health Nurse Practitioner in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.