Individual provider Active NPI

Carrie Mungai, NP

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1124126669
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
625669 Issued in TX
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

Updated by the provider on May 16, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
179458801MedicaidTX
8Y0226OtherTXBCBS OF TEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, MO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20051012000898 TX Practitioner - Nurse Practitioner 0345265906 Reassigns benefits to 2 organizations
I20210924002969 WA Practitioner - Nurse Practitioner 0345265906 Reassigns benefits to 1 organization
I20230517002362 MO Practitioner - Nurse Practitioner 0345265906 Reassigns benefits to 1 organization

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
Vpa of Texas PLLCGroup PAC ID 7618911660, 67 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

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 Home health agency, Farmers Branch, TX, CCN 747682
  • Elim Home Health Inc. Home health agency, Dallas, TX, CCN 457962
  • Healing Hands Healthcare LLC Home health agency, Wichita Falls, TX, CCN 677101
  • Encompass Home Health of DFW Home health agency, Grapevine, TX, CCN 679428
  • Renew Home Health Home health agency, Fort Worth, TX, CCN 457893
  • Medical City Alliance Hospital, Fort Worth, TX, CCN 670103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021008258MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Sep 13, 2005 Accepting new patients
Harmonycares Complete Health Services, PLLC Nurse Practitioner CurrentSince Jun 26, 2026 Accepting new patients
Vpa PC CurrentSince Sep 1, 2021 Accepting new patients
Vpa of Texas PLLC CurrentSince Sep 13, 2005 Accepting new patients
Iah of Texas, PLLC CurrentSince Jan 1, 2015 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Vpa PC CurrentSince Sep 1, 2021 Accepting new patients
Vpa PC CurrentSince May 16, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.