Lylian Anje Mukoro, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R159823 Issued in MD

Practice address

17809 Stoneridge Dr
North Potomac, MD 20878-1019

Phone

(301) 675-0577

NPI assigned

Apr 6, 2018

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 DC

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Professional Services of Holy CrossGroup PAC ID 3779516992, 159 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lmukoro1746391@direct.trinity-health.org

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.

• Professional Services of Holy Cross

  • Health Service Clinic/Center
  • Silver Spring, MD
  • NPI 1487692828

  DC

  Medicare reassignment Care Compare group NPD
• Professional Services of Holy Cross

  dba Holy Cross Health Partners in Rockville

  • Health Service Clinic/Center
  • Rockville, MD
  • NPI 1619787454
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1669979746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17809 STONERIDGE DR",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208781019",
            "telephone_number": "301-675-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17809 STONERIDGE DR",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208781019",
            "telephone_number": "301-675-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKORO",
        "first_name": "LYLIAN",
        "middle_name": "ANJE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R159823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher B Michaels, LMSW
• Samina Moiduddin, L.AC., DIPL.AC
• Montgomery Homecar, Inc
• Moringa LLC (Inner Journey With Crystal)
• Abby Mukami
• Munira Muluke, DMD
• Stephanie Natter Nalibotsky, MA, ATRBC,CGP,LCPAT
• Edgar Andres Navas, M.D.
• New Chapter Counseling: Adult and Senior Mental Health Service, LLC
• Inahi Maria Nichols, M.S.W., LGSW

• Family Nurse Practitioner in North Potomac, MD
• Providers in North Potomac, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.