Active NPI
Muun Queen Malone, APRN, ACCNS-AG, FNP
- Family Nurse Practitioner
- Fayetteville, GA
National Provider Identifier
1346858990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN200581
- Practice address
- 200 Standing Oak PL
Fayetteville, GA 30214-2693 - Phone
- (757) 581-3998
- NPI assigned
- Jul 20, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Clinical Nurse Specialist | 364SA2100X | RN200581 | GA | |
| Family Nurse Practitioner | 363LF0000X | RN200581 | GA | Primary |
Addresses
Primary practice location
200 Standing Oak PL
Fayetteville, GA 30214-2693
Mailing address
200 Standing Oak PL
Fayetteville, GA 30214-2693
Phone (757) 581-3998
Other practice location 1
2000 S Park Pl SE
Atlanta, GA 30339-2013
Phone (470) 956-7827
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN200581 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Neighborhood Nurse | Family | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649203200000",
"number": "1346858990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 STANDING OAK PL",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302142693",
"telephone_number": "757-581-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 STANDING OAK PL",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302142693",
"telephone_number": "757-581-3998"
}
],
"practiceLocations": [
{
"address_1": "2000 S Park Pl SE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303392013",
"country_code": "US",
"telephone_number": "470-956-7827",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALONE",
"first_name": "MUUN QUEEN",
"credential": "APRN, ACCNS-AG, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-20",
"last_updated": "2022-04-06",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "364SA2100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Acute Care",
"state": "GA",
"license": "RN200581",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN200581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.