Individual provider Active NPI

Kassandra Munivez

  • Acute Care Nurse Practitioner
  • Harlingen, TX
National Provider Identifier
1194454389
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1082972 Issued in TX
Practice address
2222 Vela Dr
Harlingen, TX 78550-8981
Phone
(956) 804-5851
NPI assigned
Jun 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1082972 TX Primary

Addresses

Primary practice location

2222 Vela Dr
Harlingen, TX 78550-8981

Mailing address

PO Box 5730
Belfast, ME 04915-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20221112000041 TX Practitioner - Nurse Practitioner 2264809797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

1021 W Interstate 2
Weslaco, TX 78596-4334
Phone (956) 389-1736

Hospital & facility affiliations

  • VHS Harlingen Hospital Company LLC Hospital, Harlingen, TX, CCN 450033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1082972TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Aug 2, 2022 Accepting new patients
BHS Physicians Network, Inc CurrentSince Aug 2, 2022 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

2222 Vela Dr
Harlingen, TX 78550
Phone (956) 752-8966

2101 Pease St
Ste 600
Harlingen, TX 78550

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

2121 Pease St
Ste 600
Harlingen, TX 78550
Phone (956) 215-8520

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

1021 W Interstate 2
Weslaco, TX 78596
Phone (956) 389-1736

675 E Expressway 83
Weslaco, TX 78599
Phone (956) 246-4410

Interoperability endpoints

  • Direct secure messaging: kassandra.munivez.1@1438.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1194454389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5730",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 VELA DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508981",
            "telephone_number": "956-804-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIVEZ",
        "first_name": "KASSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-06",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1082972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.