Individual provider Active NPI

Kristi Leanne Muncie, APRN

  • Nurse Practitioner
  • Irvine, KY
National Provider Identifier
1306449293
Registry record updated Oct 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3015519 Issued in KY
Practice address
1287 Blackburn Rd
Irvine, KY 40336-7298
Phone
(606) 975-3706
NPI assigned
Nov 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3015519 KY
Nurse Practitioner 363L00000X 3015519 KY Primary

Addresses

Primary practice location

1287 Blackburn Rd
Irvine, KY 40336-7298

Mailing address

1287 Blackburn Rd
Irvine, KY 40336-7298
Phone (606) 975-3706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20231128001026 KY Practitioner - Nurse Practitioner 5395193619 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3015519KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pierce Healthcare Solutions LLC Nurse Practitioner CurrentSince Nov 13, 2023 Accepting new patients
Carative Psychiatry PLLC Psychiatric/Mental Health CurrentSince Nov 30, 2025 Accepting new patients
Carative Psychiatry Nursing Corporation Psychiatric/Mental Health Past Accepting new patients

Locations

104 John St
Ste B6
Berea, KY 40403
Phone (859) 353-4180

316 Highland Park Dr
Richmond, KY 40475
Phone (859) 623-4567

300 E Lombard St
Ste 840
Baltimore, MD 21202
Phone (443) 455-9308

Interoperability endpoints

  • Direct secure messaging: kristi.muncie.1@27513.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.

NPI Registry JSON

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697328000000",
    "number": "1306449293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1287 BLACKBURN RD",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403367298",
            "telephone_number": "606-975-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 BLACKBURN RD",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403367298",
            "telephone_number": "606-975-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNCIE",
        "first_name": "KRISTI",
        "middle_name": "LEANNE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-21",
        "last_updated": "2023-10-15",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3015519",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3015519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, KY

Sources for this page

Verify at the official NPI Registry.