Individual provider Active NPI

Edmund Munde

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, TX
National Provider Identifier
1538791900
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP144405 Issued in TX
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

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200309002384 TX Practitioner - Nurse Practitioner 9931537727 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Texana Center CurrentSince Sep 3, 2020 Accepting new patients
Psychiatric Holistic Care LLC Psychiatric/Mental Health CurrentSince Aug 1, 2022 Accepting new patients
First Choice Pediatric Home Health, LLC. CurrentSince Feb 9, 2020 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.

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

Verify at the official NPI Registry.