Individual provider Active NPI

Tulany Mupandasekwa, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Moseley, VA
National Provider Identifier
1972313146
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024192707 Issued in VA
Practice address
6218 Trail Ride Dr
Moseley, VA 23120-0060
Phone
(434) 603-9027
NPI assigned
Jan 9, 2025
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024192707 VA Primary

Addresses

Primary practice location

6218 Trail Ride Dr
Moseley, VA 23120-0060

Mailing address

6218 Trail Ride Dr
Moseley, VA 23120-0060
Phone (434) 603-9027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250527000668 VA Practitioner - Nurse Practitioner 8628597382 Reassigns benefits to 2 organizations
I20250527001564 DC Practitioner - Nurse Practitioner 8628597382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Psychiatric Services LLCGroup PAC ID 0840723557, 6 clinicians

Practice addresses (Care Compare)

903 W Broadway
Hopewell, VA 23860-2536
Phone (757) 373-1913

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Psychiatric Services LLC CurrentSince Sep 1, 2025 Accepting new patients
Supportive Care of Maryland LLC CurrentSince May 1, 2025 Accepting new patients
Supportive Care of Virginia LLC CurrentSince May 1, 2025 Accepting new patients
360Healing Path LLC Psychiatric/Mental Health CurrentSince Aug 1, 2026 Accepting new patients

Locations

4409 East West Hwy
Riverdale Park, MD 20737
Phone (301) 699-2000

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

903 W Broadway
Hopewell, VA 23860
Phone (757) 373-1913

1 Park West Cir
Ste 306N
Midlothian, VA 23114
Phone (434) 603-9027

831 E Ellerslie Ave
South Chesterfield, VA 23834
Phone (718) 298-7345

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1972313146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6218 TRAIL RIDE DR",
            "city": "MOSELEY",
            "state": "VA",
            "postal_code": "231200060",
            "telephone_number": "434-603-9027",
            "fax_number": "434-603-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6218 TRAIL RIDE DR",
            "city": "MOSELEY",
            "state": "VA",
            "postal_code": "231200060",
            "telephone_number": "434-603-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUPANDASEKWA",
        "first_name": "TULANY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024192707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moseley, VA

Sources for this page

Verify at the official NPI Registry.