Active NPI
Ellen Katelin Munsterman, MSN, APRN, AGCNS-BC
- Gerontology Clinical Nurse Specialist
- Dallas, TX
National Provider Identifier
1336776491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Clinical Nurse Specialist
- License
- AP129605
- Practice address
- 4616 W Lovers LN Apt 223
Dallas, TX 75209-3157 - Phone
- (303) 668-6194
- NPI assigned
- Mar 26, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gerontology Clinical Nurse Specialist | 364SG0600X | AP129605 | TX | Primary |
Addresses
Primary practice location
4616 W Lovers LN Apt 223
Dallas, TX 75209-3157
Mailing address
4616 W Lovers LN Apt 223
Dallas, TX 75209-3157
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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP129605 | TX | MD | Gerontology Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1336776491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4616 W LOVERS LN APT 223",
"city": "DALLAS",
"state": "TX",
"postal_code": "752093157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4616 W LOVERS LN APT 223",
"city": "DALLAS",
"state": "TX",
"postal_code": "752093157",
"telephone_number": "303-668-6194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNSTERMAN",
"first_name": "ELLEN",
"middle_name": "KATELIN",
"credential": "MSN, APRN, AGCNS-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "TX",
"license": "AP129605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.