Mary N Musoke

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95032574 Issued in CA

Practice address

22056 Viscanio Rd
Woodland Hills, CA 91364-4110

Phone

(818) 282-4611

NPI assigned

Mar 25, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Serenity Care Health Group

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
  • NPI 1245623156
  Medicare reassignment NPD
• Serenity Care Health Group

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
  • NPI 1902663305
  NPD

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1669059846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22056 VISCANIO RD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913644110",
            "telephone_number": "818-282-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22056 VISCANIO RD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913644110",
            "telephone_number": "818-282-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSOKE",
        "first_name": "MARY",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "828614",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "00000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "phone",
            "address_1": "22056 Viscanio Rd",
            "city": "Woodland Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913644110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Oriana Gres Murphy, M.A., CADCA, LCSW
• Jasmine Andrea Kauaiokalani Murray-Lucero
• Michael Christopher Murray, D.C.
• Shabrea Murray
• Juliet Musoke, RN
• Sabina Mustafaj
• Taryn Elizabeth Mustan
• Brittany Mustin
• My Choice Ipa
• Howard Lee Myerhoff, PHD

• Family Nurse Practitioner in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.