Active NPI
Carrie Mungai, NP
- Family Nurse Practitioner
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 625669
- Practice address
- 4545 Fuller Dr
Suite 325
Irving, TX 75038-6530 - Phone
- (972) 870-5511
- Fax
- (972) 870-5512
- NPI assigned
- Sep 20, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 625669 | TX | |
| Family Nurse Practitioner | 363LF0000X | 2021008258 | MO | |
| Family Nurse Practitioner | 363LF0000X | AP30005830 | WA | |
| Family Nurse Practitioner | 363LF0000X | 625669 | TX | Primary |
Addresses
Primary practice location
4545 Fuller Dr
Suite 325
Irving, TX 75038-6530
Mailing address
PO Box 639295 Dept 93394
Cincinnati, OH 45263-9295
Phone (248) 434-6169
Other practice location 1
606 Oakesdale Ave SW Ste C200
Renton, WA 98057-5227
Phone (866) 259-1629
Other practice location 2
8710 Manchester Rd
Saint Louis, MO 63144-2724
Phone (314) 961-3570
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 179458801 | Medicaid | TX | |
| 8Y0226 | Other | TX | BCBS OF TEXAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WA, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Irving, TX 75038
Phone (972) 870-5511
800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543
Hospital & facility affiliations
- Amatus Health Care LLC
- Elim Home Health Inc.
- Healing Hands Healthcare LLC
- Encompass Home Health of DFW
- Renew Home Health
- Medical City Alliance
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021008258 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Harmonycares Complete Health Services, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Vpa PC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Iah of Texas, PLLC | Current | Accepting new patients | |
| Vpa of Texas PLLC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| CLH Physicians PA | Past | Accepting new patients |
Locations
500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000
8706 Manchester Rd
Ste 106
Saint Louis, MO 63144
Phone (314) 961-3570
8710 Manchester Rd
Saint Louis, MO 63144
Phone (314) 961-3570
3500 Oak Lawn Ave
Ste 400
Dallas, TX 75219
Phone (214) 360-0077
1301 W 7th St
Ste 121
Ft Worth, TX 76102
Phone (817) 348-0425
4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511
5414 Fredericksburg Rd
Ste 100A
San Antonio, TX 78229
Phone (210) 468-0800
606 Oakesdale Ave SW
Ste C200
Renton, WA 98057
Phone (866) 259-1629
Interoperability endpoints
- carrie.mungai.1@32913.direct.athenahealth.com
Organizations & group practices 10
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.
-
- Family Medicine Physician
- Irving, TX
- NPI 1679510499
-
- Family Medicine Physician
- Irving, TX
- NPI 1487051231
-
- Family Medicine Physician
- Renton, WA
- NPI 1093117574
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1760706337
-
- Physical Therapist
- Cedar Park, TX
- NPI 1871132357
-
- Family Medicine Physician
- Irving, TX
- NPI 1326667536
-
- Clinical Social Worker
- San Antonio, TX
- NPI 1578175865
-
- Family Medicine Physician
- Jackson, MS
- NPI 1093543902
Nurse Practitioner
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1578363362
-
- Family Medicine Physician
- Dallas, TX
- NPI 1073613931
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Farmers Branch, TX
- NPI 1619295268
-
- Home Health Agency
- Grapevine, TX
- NPI 1245521103
-
- Home Health Agency
- Mesquite, TX
- NPI 1184742330
-
- Home Health Agency
- Wichita Falls, TX
- NPI 1457722449
-
- Home Health Agency
- Fort Worth, TX
- NPI 1407191612
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1871911016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1124126669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639295 DEPT 93394",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452639295",
"telephone_number": "248-434-6169",
"fax_number": "855-618-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 FULLER DR",
"address_2": "SUITE 325",
"city": "IRVING",
"state": "TX",
"postal_code": "750386530",
"telephone_number": "972-870-5511",
"fax_number": "972-870-5512"
}
],
"practiceLocations": [
{
"address_1": "606 Oakesdale Ave SW Ste C200",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980575227",
"country_code": "US",
"telephone_number": "866-259-1629",
"fax_number": "855-666-8541",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8710 Manchester Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631442724",
"country_code": "US",
"telephone_number": "314-961-3570",
"fax_number": "314-961-6450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUNGAI",
"first_name": "CARRIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "625669",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2021008258",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30005830",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "625669",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "179458801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "8Y0226",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.