Tsitsi Mugomba

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN299136 Issued in PA

Practice address

197 Tulip LN
Gilbertsville, PA 19525-8121

Phone

(484) 524-8280

NPI assigned

Feb 2, 2024

Last updated

Feb 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

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  NPD (past)

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1699538660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 TULIP LN",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195258121",
            "telephone_number": "484-524-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 TULIP LN",
            "city": "GILBERTSVILLE",
            "state": "PA",
            "postal_code": "195258121",
            "telephone_number": "484-524-8280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "152 E High St Ste 440B",
            "address_purpose": "LOCATION",
            "city": "Pottstown",
            "state": "PA",
            "postal_code": "194645400",
            "country_code": "US",
            "telephone_number": "484-524-8280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUGOMBA",
        "first_name": "TSITSI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN299136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Richard Mishock, MPT DC
• Ashley Monfort, PT
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• Jennifer A Mossholder, DOULA
• Jaclyn M Moyer, MS
• Sherry Lynn Mulcahy, RN
• New Hanover Chiropractic Rehabilitation Center PC
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• Thomas Peter Olejniczak Jr., OTR/L
• Lisa Oliver-Connolly, LCSW

• Licensed Practical Nurse in Gilbertsville, PA
• Providers in Gilbertsville, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.