Juliana Mutindi Mutua, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5019248 Issued in NC

Practice address

400 Crutchfield St Ste D
Durham, NC 27704-2771

Phone

(833) 800-1505

NPI assigned

Apr 7, 2023

Last updated

Jan 31, 2024By the provider in NPPES

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 NC

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freedom House Recovery Center IncGroup PAC ID 5193898229, 12 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Freedom House Recovery Center, Inc.

  • Community/Behavioral Health Agency
  • Roxboro, NC
  • NPI 1093986523
  Medicare reassignment Care Compare group NPD
• Freedom House Recovery Center, Inc.

  • Community/Behavioral Health Agency
  • Chapel Hill, NC
  • NPI 1205904265
  NPD
• Freedom House Recovery Center, Inc.

  • Community/Behavioral Health Agency
  • Chapel Hill, NC
  • NPI 1548490378
  NPD

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1689369464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CRUTCHFIELD ST STE D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042771",
            "telephone_number": "833-800-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CRUTCHFIELD ST STE D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042771",
            "telephone_number": "833-800-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTUA",
        "first_name": "JULIANA",
        "middle_name": "MUTINDI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2024-01-31",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5019248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Douglas Musselwhite, MSW, LCSW, LCAS
• Robert Musser, M.D.
• Ranan Mustafa, PHARMD
• Melinda Musumarra, N.P.
• Nekoba Kahindo Mutima, LCSW
• Jameel Muzaffar, MD
• MVMT Physical Therapy LLC
• My Family Home Care LLC
• My Resilient Life Coaching and Consulting (My Resilient Life Counseling)
• Taylor Myatt

• Psychiatric/Mental Health Nurse Practitioner in Durham, NC
• Providers in Durham, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.
• 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.