Individual provider Active NPI

Jennifer L Munson, M.D.

  • Nephrology Physician
  • Lebanon, OH
National Provider Identifier
1356348841
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35051640 Issued in OH
Practice address
100 Arrow Springs Blvd
2500
Lebanon, OH 45036-7002
Phone
(513) 697-8200
Fax
(859) 291-9101
NPI assigned
Jun 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35051640 OH Primary

Addresses

Primary practice location

100 Arrow Springs Blvd
2500
Lebanon, OH 45036-7002

Mailing address

11397 Terwilligerscreek Dr
Cincinnati, OH 45249-2771
Phone (513) 697-8200

Other identifiers 1

IdentifierTypeStateIssuer
0829607MedicaidOH

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Physicians Inc Nephrology Past Accepting new patients
Trihealth H LLC Past Accepting new patients
Major Hospital Past Accepting new patients
Cardiology Center of Cincinnati, Inc Past Accepting new patients

Organizations & group practices 4

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1356348841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11397 TERWILLIGERSCREEK DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492771",
            "telephone_number": "513-697-8200",
            "fax_number": "859-291-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARROW SPRINGS BLVD",
            "address_2": "2500",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450367002",
            "telephone_number": "513-697-8200",
            "fax_number": "859-291-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSON",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35051640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0829607",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.