Individual provider Active NPI

Leah Marie Munoz, APRN FNP-BC

  • Family Nurse Practitioner
  • El Paso, TX
National Provider Identifier
1013692938
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
961348 Issued in TX
Practice address
300 Waymore Dr
El Paso, TX 79902-1604
Phone
(915) 577-2600
NPI assigned
Jun 19, 2023
Last updated
Aug 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1130183 TX
Family Nurse Practitioner 363LF0000X 961348 TX Primary

Addresses

Primary practice location

300 Waymore Dr
El Paso, TX 79902-1604

Mailing address

7388 Cimarron Gap Dr
El Paso, TX 79911-2239
Phone (915) 540-0013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20231006000101 TX Practitioner - Nurse Practitioner 6103271424 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Revive Global PLLCGroup PAC ID 5395273429, 9 clinicians
Fahad Omar MD PAGroup PAC ID 6305120031, 12 clinicians

Practice addresses (Care Compare)

5539 N Mesa St
El Paso, TX 79912-5422
Phone (915) 213-0900

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1130183TXMDNurse Practitioner
961348TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Return to Function, PLLC CurrentSince Mar 1, 2024 Accepting new patients
Fahad Omar MD PA CurrentSince Jul 1, 2024 Accepting new patients
Revive Global PLLC CurrentSince Jan 1, 2025 Accepting new patients
Rio Grande Urology PA CurrentSince Aug 14, 2023 Accepting new patients
Bhaskar Rao, MD, PA CurrentSince Mar 1, 2024 Accepting new patients
Rio Grande Urology PA Past Accepting new patients

Locations

10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424

1395 George Dieter Dr
El Paso, TX 79936
Phone (915) 298-7225

1512 N Zaragoza Rd
Ste B
El Paso, TX 79936
Phone (915) 218-6055

2201 N Stanton St
El Paso, TX 79902
Phone (915) 533-0800

300 Waymore Dr
El Paso, TX 79902
Phone (915) 577-2600

3100 N Lee Trevino Dr
Ste G
El Paso, TX 79936
Phone (915) 225-2456

5539 N Mesa St
El Paso, TX 79912

7420 Remcon Cir
El Paso, TX 79912
Phone (915) 532-8823

7420 Remcon Cir
Ste A
El Paso, TX 79912
Phone (915) 225-2023

7420 Remcon Cir
Ste C
El Paso, TX 79912
Phone (915) 532-8823

Organizations & group practices 6

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": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1013692938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7388 CIMARRON GAP DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799112239",
            "telephone_number": "915-540-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WAYMORE DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021604",
            "telephone_number": "915-577-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "LEAH",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1130183",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "961348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.