Individual provider Active NPI

Savannah Crist Munier

  • Physician Assistant
  • Palm Coast, FL
National Provider Identifier
1073260196
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9119091 Issued in FL
Practice address
37 Old Kings Rd
Palm Coast, FL 32137-8227
Phone
(386) 225-4607
Fax
(386) 276-3172
NPI assigned
Mar 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9119091 FL Primary

Addresses

Primary practice location

37 Old Kings Rd
Palm Coast, FL 32137-8227

Mailing address

10 Oakmont Cir
Ormond Beach, FL 32174-3711
Phone (386) 843-9335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241001000647 FL Practitioner - Physician Assistant 4789115809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parks Dermatology Center LLCGroup PAC ID 7315985686, 17 clinicians

Practice addresses (Care Compare)

1175 Dunlawton Ave
Suite 102
Port Orange, FL 32127-4745
Phone 3866779044305

2515 Junior St
Orange City, FL 32763-8016
Phone 3866779044305

400 Lakebridge Plaza Dr
Ormond Beach, FL 32174-5157
Phone (386) 677-9044

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9119091FLMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: muniers@parksdermatology.emadirect.md

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1073260196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OAKMONT CIR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743711",
            "telephone_number": "386-843-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 OLD KINGS RD",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378227",
            "telephone_number": "386-225-4607",
            "fax_number": "386-276-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIST MUNIER",
        "first_name": "SAVANNAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9119091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

Verify at the official NPI Registry.