Individual provider Active NPI

Asuncion Marina Munoz, L.M.H.C., MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hialeah, FL
National Provider Identifier
1376736363
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9292609 Issued in FL
Practice address
18861 NW 86TH CT Apt 3901
Hialeah, FL 33015-7231
Phone
(786) 553-0954
Fax
(305) 627-3461
NPI assigned
Aug 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 8287 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9292609 FL Primary

Addresses

Primary practice location

18861 NW 86TH CT Apt 3901
Hialeah, FL 33015-7231

Mailing address

18861 NW 86TH CT Apt 3901
Hialeah, FL 33015-7231
Phone (786) 553-0954

Other identifiers 1

IdentifierTypeStateIssuer
002008100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110208000883 FL Practitioner - Nurse Practitioner 2769662758 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18861 NW 86TH CT
Apt 3901
Hialeah, FL 33015-2692
Phone (786) 553-0954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
9292609FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Dolphin Health Care Corp Mental Health CurrentSince May 1, 2013 Accepting new patients
Lifestar Mental Wellness Center Inc, CMHC CurrentSince Sep 10, 2020 Accepting new patients

Locations

3416 W 84th St
Ste 108
Hialeah, FL 33018
Phone (305) 557-1555

777 E 25th St
Ste 302
Hialeah, FL 33013
Phone (305) 696-3444

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.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1376736363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18861 NW 86TH CT APT 3901",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330157231",
            "telephone_number": "786-553-0954",
            "fax_number": "305-627-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18861 NW 86TH CT APT 3901",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330157231",
            "telephone_number": "786-553-0954",
            "fax_number": "305-627-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "ASUNCION",
        "middle_name": "MARINA",
        "name_prefix": "Mrs.",
        "credential": "L.M.H.C., MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 8287",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9292609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002008100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.