Hanna Rae Mundy, ATC, BCS-O, OTC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT6584 Issued in TX

Practice address

7115 Greenville Ave Ste 310
Dallas, TX 75231-5103

Phone

(214) 265-3200

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1134675879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 AMESBURY DR APT 2306",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752060021",
            "telephone_number": "214-236-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 GREENVILLE AVE STE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752315103",
            "telephone_number": "214-265-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Athletics Center",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "OK",
            "postal_code": "740785070",
            "country_code": "US",
            "telephone_number": "214-236-5210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNDY",
        "first_name": "HANNA",
        "middle_name": "RAE",
        "credential": "ATC, BCS-O, OTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT6584",
            "primary": true
        },
        {
            "code": "246ZX2200X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": null,
            "license": "3000100020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Frederick Munch
• Lilly Lewis Munch, PA-C
• Paul A Muncy, M.D.
• Vatsala Mundra
• Nicole Lee Mundt, RN
• Rutaba Muneer
• Ann N Munene, NP
• Lauren Munford, NP
• Robert Sims Munford III, MD
• Munger Dental Partners PLLC

• Athletic Trainer in Dallas, TX
• Providers in Dallas, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.