Active NPI
Amy K Munoz, RD, LMNT
- Registered Dietitian
- Grand Island, NE
National Provider Identifier
1073743290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 757
- Practice address
- 3533 Prairieview St
Grand Island, NE 68803-4409 - Phone
- (308) 675-4551
- NPI assigned
- Jul 22, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 757 | NE | Primary |
Addresses
Primary practice location
3533 Prairieview St
Grand Island, NE 68803-4409
Mailing address
3533 Prairieview St
Grand Island, NE 68803-4409
Phone (308) 675-4551
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 915456 | Other | AMERICAN DIETETIC ASSOCIATION | |
| 757 | Other | NE | STATE OF NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1073743290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3533 PRAIRIEVIEW ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688034409",
"telephone_number": "308-675-4551",
"fax_number": "308-675-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3533 PRAIRIEVIEW ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688034409",
"telephone_number": "308-675-4551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ",
"first_name": "AMY",
"middle_name": "K",
"credential": "RD, LMNT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-22",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "757",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN DIETETIC ASSOCIATION",
"identifier": "915456",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NE",
"identifier": "757",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.