David Mwangi

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R202397 Issued in MD

Practice address

1301 York Rd Ste 800
Lutherville Timonium, MD 21093-6011

Phone

(410) 800-4909

Fax

(410) 800-4275

NPI assigned

Oct 10, 2020

Last updated

Jul 31, 2023By the provider in NPPES

Sex

Male

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 MD

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Life Balance Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lutherville Timonium, MD
  • NPI 1013642339
  Medicare reassignment NPD Authorized official
• Advantage Psychiatric Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elkton, MD
  • NPI 1548742554
  Medicare reassignment NPD
• Advantage Psychiatric Services LLC

  • Case Management Agency
  • Elkton, MD
  • NPI 1306364971
  NPD
• Advantage Psychiatric Services LLC

  • Clinic/Center
  • Havre de Grace, MD
  • NPI 1700515236
  NPD

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

{
    "created_epoch": "1602288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1932707171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 YORK RD STE 800",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210936011",
            "telephone_number": "410-800-4909",
            "fax_number": "410-800-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 YORK RD STE 800",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210936011",
            "telephone_number": "410-800-4909",
            "fax_number": "410-800-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWANGI",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-10",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R202397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary S Mitchell, PT, DPT
• Miu Group LLC (MIU Center)
• Shakia Mixon, NP
• MLC Counseling and Holistic Wellness, LLC
• MPG Neurohealth LLC
• National Vision Inc (America's Best Contacts & Eyeglasses)
• Nutrition Coaching Center
• Diana Opeyemi Omoyeni, MD
• Mariel Veronica Otter, DNP, CRNP-MH
• Padonia Village Pharmacy

• Psychiatric/Mental Health Nurse Practitioner in Lutherville Timonium, MD
• Providers in Lutherville Timonium, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.