Active NPI
Edmund Munde
- Psychiatric/Mental Health Nurse Practitioner
- Richmond, TX
National Provider Identifier
1538791900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP144405
- Practice address
- 5307 Lotus Canyon CT
Richmond, TX 77407-1448 - Phone
- (301) 633-1885
- NPI assigned
- Feb 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP144405 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | AP144405 | TX |
Addresses
Primary practice location
5307 Lotus Canyon CT
Richmond, TX 77407-1448
Mailing address
1201 Creek Way Dr Ste C
Sugar Land, TX 77478-4568
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5307 Lotus Canyon CT
Richmond, TX 77407-1448
Phone (301) 633-1885
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texana Center | Current | Accepting new patients | |
| Psychiatric Holistic Care LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| First Choice Pediatric Home Health, LLC. | Current | Accepting new patients |
Locations
4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300
Organizations & group practices 3
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Richmond, TX
- NPI 1942928429
-
- Home Health Agency
- Richmond, TX
- NPI 1235789785
-
- Multi-Specialty Clinic/Center
- Rosenberg, TX
- NPI 1912954058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1538791900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 CREEK WAY DR STE C",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774784568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5307 LOTUS CANYON CT",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774071448",
"telephone_number": "301-633-1885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNDE",
"first_name": "EDMUND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-04",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP144405",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP144405",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.