Individual provider Active NPI

Zita Antoinette Muladore, FNP-C

  • Family Nurse Practitioner
  • Traverse City, MI
National Provider Identifier
1326406133
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704285282 Issued in MI
Practice address
1200 Sixth St Ste 200
Traverse City, MI 49684-2369
Phone
(231) 935-5800
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704285282 MI Primary

Addresses

Primary practice location

1200 Sixth St Ste 200
Traverse City, MI 49684-2369

Mailing address

220 N Madison St
Traverse City, MI 49684-2111
Phone (231) 675-5754

Other practice location 1

220 N Madison St
Traverse City, MI 49684-2111
Phone (231) 675-5754

Other practice location 2

617 N Court Ave
Gaylord, MI 49735-1515
Phone (989) 731-9532

Other practice location 3

704 Oak St
Cadillac, MI 49601-2385
Phone (231) 876-6753

Other names 1

  • Zita Antoinette Anderson Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ZMULADORE@direct.mhc.net
Direct Messaging Address ZMULADORE@direct.mhc.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20190212000838 MI Practitioner - Nurse Practitioner 2769720036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Munson Medical GroupGroup PAC ID 8820277015, 191 clinicians

Practice addresses (Care Compare)

1200 6TH St
Suite 200
Traverse City, MI 49684-2369
Phone (231) 935-5800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Group CurrentSince Feb 15, 2019 Accepting new patients
Munson Medical Group CurrentSince Feb 15, 2019 Accepting new patients
Munson Medical Center Past Accepting new patients

Locations

2891 Momentum Pl
Chicago, IL 60689

704 Oak St
Cadillac, MI 49601
Phone (231) 876-6753

704 Oak St
Ste 200
Cadillac, MI 49601
Phone (231) 876-6753

617 N Court Ave
Gaylord, MI 49735
Phone (989) 731-9532

829 N Center Ave
Ste 110
Gaylord, MI 49735
Phone (989) 731-9532

1200 Sixth St
Ste 200
Traverse City, MI 49684

1200 Sixth St
Traverse City, MI 49684
Phone (231) 392-0650

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Interoperability endpoints

  • Direct secure messaging: zmuladore@direct.mhc.net

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 6

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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1326406133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N MADISON ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842111",
            "telephone_number": "231-675-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SIXTH ST STE 200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842369",
            "telephone_number": "231-935-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 N Madison St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842111",
            "country_code": "US",
            "telephone_number": "231-675-5754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "617 N Court Ave",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351515",
            "country_code": "US",
            "telephone_number": "989-731-9532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "704 Oak St",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496012385",
            "country_code": "US",
            "telephone_number": "231-876-6753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULADORE",
        "first_name": "ZITA",
        "middle_name": "ANTOINETTE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704285282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ZMULADORE@direct.mhc.net",
            "affiliation": "N",
            "address_1": "1200 Sixth St Ste 200",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496842369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ZMULADORE@direct.mhc.net",
            "affiliation": "N",
            "address_1": "1200 Sixth St Ste 200",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496842369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ZITA",
            "last_name": "ANDERSON",
            "middle_name": "ANTOINETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.