Individual provider Active NPI

Kirt Munson

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1396230124
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
022970 Issued in OH
Practice address
3020 N McCord Rd Ste 201
Toledo, OH 43615-1744
Phone
(419) 517-1110
Fax
(419) 517-1108
NPI assigned
Jun 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 022970 OH Primary

Addresses

Primary practice location

3020 N McCord Rd Ste 201
Toledo, OH 43615-1744

Mailing address

3020 N McCord Rd Ste 201
Toledo, OH 43615-1744
Phone (419) 517-1110

Other practice location 1

4235 Secor Rd
Toledo, OH 43623-4231
Phone (419) 473-3561

Other practice location 2

4235 Secor Rd
Toledo, OH 43623-4231
Phone (419) 473-3561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20181004002825 OH Practitioner - Nurse Practitioner 3173875952 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
022970OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology and Headache Clinics of NW Ohio CurrentSince Aug 1, 2019 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

19645 Progress Dr
Strongsville, OH 44149

3020 N McCord Rd
Ste 102
Toledo, OH 43615
Phone (419) 517-1110

3020 N McCord Rd
Ste 201
Toledo, OH 43615
Phone (419) 517-1110

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1396230124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 N MCCORD RD STE 201",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151744",
            "telephone_number": "419-517-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 N MCCORD RD STE 201",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151744",
            "telephone_number": "419-517-1110",
            "fax_number": "419-517-1108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4235 Secor Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436234231",
            "country_code": "US",
            "telephone_number": "419-473-3561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4235 Secor Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436234231",
            "country_code": "US",
            "telephone_number": "419-473-3561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNSON",
        "first_name": "KIRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-25",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "022970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.