Lorraine Tatenda Nokuthula Nxumalo, PMHNP
Nurse Practitioner, Psych/Mental Health in Glendale, CA. Individual provider (NPI-1).
NPI number1972371607
StatusActive
Last updated in NPPESApr 30, 2026
Details
- NPI
- 1972371607
- Entity type
- Individual (NPI-1)
- Name
- Lorraine Tatenda Nokuthula Nxumalo
- Credential
- PMHNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2023
- Certification date
- Apr 30, 2026
- Last updated
- Apr 30, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 95028675 | CA | Yes |
| 163WP0808X | Registered Nurse, Psych/Mental Health | 794711 | CA |
Practice location
401 N Brand BlvdGlendale, CA 91203-4427
Phone 949-415-4059
Mailing address
3711 Long Beach Blvd Unit 4559Long Beach, CA 90807-3315
Phone 949-415-4059
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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