Individual provider Active NPI

Rocio Alexsandra Mundo, RN

  • Registered Nurse
  • Varnville, SC
National Provider Identifier
1336833524
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
254657 Issued in SC
Practice address
531 West Carolina Ave
Varnville, SC 29944
Phone
(803) 943-3878
NPI assigned
Jun 8, 2023
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 254657 SC Primary

Addresses

Primary practice location

531 West Carolina Ave
Varnville, SC 29944

Mailing address

531 W Carolina Ave
Varnville, SC 29944
Phone (803) 943-3878

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
254657SCMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1336833524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 W CAROLINA AVE",
            "city": "VARNVILLE",
            "state": "SC",
            "postal_code": "29944",
            "telephone_number": "803-943-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 WEST CAROLINA AVE",
            "city": "VARNVILLE",
            "state": "SC",
            "postal_code": "29944",
            "telephone_number": "803-943-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDO",
        "first_name": "ROCIO",
        "middle_name": "ALEXSANDRA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "254657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Varnville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.