Active NPI
Sandra Mua
- Family Nurse Practitioner
- Frisco, TX
National Provider Identifier
1376083477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP133509
- Practice address
- 4645 Avon LN Ste 300
Frisco, TX 75033-1213 - Phone
- (214) 836-1880
- NPI assigned
- Mar 8, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP133509 | TX | Primary |
Addresses
Primary practice location
4645 Avon LN Ste 300
Frisco, TX 75033-1213
Mailing address
4645 Avon LN Ste 300
Frisco, TX 75033-1213
Phone (214) 836-1880
Other practice location 1
3000 N I 35
Denton, TX 76201-5119
Phone (940) 898-7000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP133509 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1376083477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4645 AVON LN STE 300",
"city": "FRISCO",
"state": "TX",
"postal_code": "750331213",
"telephone_number": "214-836-1880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4645 AVON LN STE 300",
"city": "FRISCO",
"state": "TX",
"postal_code": "750331213",
"telephone_number": "214-836-1880"
}
],
"practiceLocations": [
{
"address_1": "3000 N I 35",
"address_purpose": "LOCATION",
"city": "Denton",
"state": "TX",
"postal_code": "762015119",
"country_code": "US",
"telephone_number": "940-898-7000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUA",
"first_name": "SANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-08",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP133509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.