Individual provider Active NPI

Ma Edna Munakata, RN KN

  • Registered Nurse
  • Alameda, CA
National Provider Identifier
1376089367
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
635197 Issued in CA
Practice address
1521 Saint Charles St
Apt B
Alameda, CA 94501-2349
Phone
(510) 861-5556
NPI assigned
Jan 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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 635197 CA Primary

Addresses

Primary practice location

1521 Saint Charles St
Apt B
Alameda, CA 94501-2349

Mailing address

1521 Saint Charles St
Apt B
Alameda, CA 94501-2349

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
635197CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1376089367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 SAINT CHARLES ST",
            "address_2": "APT B",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945012349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 SAINT CHARLES ST",
            "address_2": "APT B",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945012349",
            "telephone_number": "510-861-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNAKATA",
        "first_name": "MA EDNA",
        "credential": "RN KN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "635197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.