Individual provider Active NPI

Asha Ann Aliciah Munn, RN

  • Registered Nurse
  • Valley Stream, NY
National Provider Identifier
1083371793
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
793472 Issued in NY
Practice address
34 Bradford Rd
Valley Stream, NY 11580-1126
Phone
(516) 668-5368
NPI assigned
Nov 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 793472 NY Primary

Addresses

Primary practice location

34 Bradford Rd
Valley Stream, NY 11580-1126

Mailing address

34 Bradford Rd
Valley Stream, NY 11580-1126
Phone (516) 668-5368

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL mobilephone
Other URL laptop

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
793472NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1083371793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BRADFORD RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801126",
            "telephone_number": "516-668-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BRADFORD RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801126",
            "telephone_number": "516-668-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNN",
        "first_name": "ASHA",
        "middle_name": "ANN ALICIAH",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "793472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mobilephone",
            "affiliation": "N",
            "address_1": "34 Bradford Rd",
            "city": "Valley Stream",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115801126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "34 Bradford Rd",
            "city": "Valley Stream",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115801126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.