Individual provider Active NPI

Brenda Muhoma, DNP, FNP, RN

  • Family Nurse Practitioner
  • Delmar, NY
National Provider Identifier
1972068716
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
353529 Issued in NY
Practice address
125 Rockefeller Rd
Delmar, NY 12054-2221
Phone
(209) 225-5620
NPI assigned
Feb 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN263300 GA
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X RN263300 GA
Family Nurse Practitioner 363LF0000X 353529 NY Primary

Addresses

Primary practice location

125 Rockefeller Rd
Delmar, NY 12054-2221

Mailing address

842 Louisa LN
Lithonia, GA 30058-6187
Phone (209) 225-5620

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Broadway
Brooklyn, NY 11211-6130

2151 Marion PL
North Baldwin, NY 11510-2957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN263300GAMDRegistered Nurse
353529NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tradeot Healthcare Family Current Accepting new patients

Organizations & group practices 1

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": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1972068716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 LOUISA LN",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300586187",
            "telephone_number": "209-225-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ROCKEFELLER RD",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120542221",
            "telephone_number": "209-225-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHOMA",
        "first_name": "BRENDA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN263300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN263300",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "353529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, NY

Sources for this page

Verify at the official NPI Registry.