Individual provider Active NPI

Quinyatta Patise Mumford, DRPH, MPH, CHES

  • Health Educator
  • Little Rock, AR
National Provider Identifier
1679073696
Registry record updated Feb 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
17939
Practice address
8 Jordan MNR
Little Rock, AR 72204-7902
Phone
(501) 229-9220
NPI assigned
Feb 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 17939 Primary
Health & Wellness Coach 171400000X

Addresses

Primary practice location

8 Jordan MNR
Little Rock, AR 72204-7902

Mailing address

8 Jordan MNR
Little Rock, AR 72204-7902
Phone (256) 648-3301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mumford and Associates Incorporated CurrentSince Feb 25, 2024 Accepting new patients
Mumford and Associates Incorporated Health & Wellness Coach CurrentSince Feb 18, 2024 Accepting new patients

Locations

300 S Rodney Parham Rd
Ste 1270
Little Rock, AR 72205

Organizations & group practices 2

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": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707609600000",
    "number": "1679073696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 JORDAN MNR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722047902",
            "telephone_number": "256-648-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 JORDAN MNR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722047902",
            "telephone_number": "501-229-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMFORD",
        "first_name": "QUINYATTA",
        "middle_name": "PATISE",
        "name_prefix": "Dr.",
        "credential": "DRPH, MPH, CHES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2024-02-11",
        "certification_date": "2024-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": "17939",
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.