Individual provider Active NPI

Nicole Angelique Munoz, APRN

  • Nurse Practitioner
  • Miramar, FL
National Provider Identifier
1245888080
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11003718 Issued in FL
Practice address
17413 SW 19TH St
Miramar, FL 33029-5535
Phone
(954) 258-5799
NPI assigned
Aug 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11003718 FL Primary

Addresses

Primary practice location

17413 SW 19TH St
Miramar, FL 33029-5535

Mailing address

17413 SW 19TH St
Miramar, FL 33029-5535
Phone (954) 258-5799

Other practice location 1

12600 Pembroke Rd Ste 200
Miramar, FL 33027
Phone (954) 303-9700

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

LicenseStateTypeSpecialty
APRN11003718FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1245888080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17413 SW 19TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295535",
            "telephone_number": "954-258-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17413 SW 19TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295535",
            "telephone_number": "954-258-5799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12600 Pembroke Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "33027",
            "country_code": "US",
            "telephone_number": "954-303-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "NICOLE",
        "middle_name": "ANGELIQUE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11003718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; 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.