Active NPI
Stella Ndanu Munyu, REGISTERED NURSE
- Registered Nurse
- Ankeny, IA
National Provider Identifier
1154197028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 164393
- Practice address
- 1218 NE 15TH LN
Ankeny, IA 50021-6562 - Phone
- (612) 406-7222
- NPI assigned
- Nov 30, 2023
- Last updated
- Nov 30, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 164393 | IA | Primary |
Addresses
Primary practice location
1218 NE 15TH LN
Ankeny, IA 50021-6562
Mailing address
1218 NE 15TH LN
Ankeny, IA 50021-6562
Phone (612) 406-7222
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 |
|---|---|---|---|
| 164393 | IA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arise & Shine Homes | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Ankeny, IA
- NPI 1720990757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1154197028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1218 NE 15TH LN",
"city": "ANKENY",
"state": "IA",
"postal_code": "500216562",
"telephone_number": "612-406-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 NE 15TH LN",
"city": "ANKENY",
"state": "IA",
"postal_code": "500216562",
"telephone_number": "612-406-7222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNYU",
"first_name": "STELLA",
"middle_name": "NDANU",
"name_prefix": "Ms.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-11-30",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IA",
"license": "164393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.