Active NPI
Maureen Monroy Nelson, CPNP-PC
- Pediatric Nurse Practitioner
- Thousand Oaks, CA
National Provider Identifier
1134865207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 95012666
- Practice address
- 2125 E. Thousand Oaks Blvd, Suite B-2
Thousand Oaks, CA 91362-2965 - Phone
- (805) 374-7874
- Fax
- (805) 374-7876
- NPI assigned
- May 11, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Clinical Nurse Specialist | 364SP0200X | 4840 | CA | |
| Pediatric Nurse Practitioner | 363LP0200X | 95012666 | CA | Primary |
Addresses
Primary practice location
2125 E. Thousand Oaks Blvd, Suite B-2
Thousand Oaks, CA 91362-2965
Mailing address
2125 E. Thousand Oaks Blvd, Suite B-2
Thousand Oaks, CA 91362-2965
Phone (805) 374-7874
Other names 1
- Maureen Belinda Monroy
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95012666 | CA | MD | Pediatric Nurse Practitioner |
| 4840 | CA | MD | Pediatric Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| After Hours Pediatrics, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Thousand Oaks, CA
- NPI 1306993696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655164800000",
"number": "1134865207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2125 E. THOUSAND OAKS BLVD, SUITE B-2",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913622965",
"telephone_number": "805-374-7874",
"fax_number": "805-374-7876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 E. THOUSAND OAKS BLVD, SUITE B-2",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913622965",
"telephone_number": "805-374-7874",
"fax_number": "805-374-7876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "MAUREEN",
"middle_name": "MONROY",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-11",
"last_updated": "2022-06-14",
"certification_date": "2022-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Pediatrics",
"state": "CA",
"license": "4840",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "95012666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAUREEN",
"last_name": "MONROY",
"middle_name": "BELINDA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.