NPIMap

Rashida Aliya Mungin, NP-C

Individual provider Active NPI Nurse Practitioner · Cornelius, NC

NPI 1467006999 · NPPES record last updated Apr 18, 2023

Key facts

NPI
1467006999
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
5012103 (NC)
Practice address
19830 Zion Ave
Cornelius, NC 28031-8495
Phone
(704) 384-1782
Fax
(704) 384-1783
NPI assigned
Aug 1, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 23

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLC (2,413 clinicians)

Practice addresses (Care Compare)

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20191204003135 NC Practitioner - Nurse Practitioner 1951734920 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F06192993NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cabarrus Rowan Community Health Centers, Inc. Current
since Dec 13, 2021		 Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. Current Accepting new patients
First Care Medical Clinic, PA Current Accepting new patients
First Care Medical Clinic Current
since Oct 2, 2019		 Accepting new patients
Novant Health Medical Group, LLC Current
since Apr 8, 2023		 Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. Current
since Dec 13, 2021		 Accepting new patients
Novant Health Medical Group, LLC Current
since Apr 8, 2023		 Accepting new patients
First Care Medical Clinic Current
since Oct 2, 2019		 Accepting new patients
Novant Health Medical Group, LLC Current
since Apr 8, 2023		 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients

Locations

1426 E Main St
Albemarle, NC 28001
Phone (704) 982-0950

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

202D McGill Ave NW
Concord, NC 28025
Phone (704) 792-2242

19485 Old Jetton Rd
Ste 100
Cornelius, NC 28031
Phone (704) 316-5170

19830 Zion Ave
Cornelius, NC 28031
Phone (704) 384-1782

16525 Holly Crest Ln
Ste 150
Huntersville, NC 28078
Phone (704) 384-1725

404 S Sutherland Ave
Monroe, NC 28112

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: rmungin672849@direct.novanthealth.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F06192993 NC
Nurse Practitioner 363L00000X 5012103 NC Yes

Addresses

Primary practice location

19830 Zion Ave
Cornelius, NC 28031-8495

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

1426 E Main St
Albemarle, NC 28001-5236
Phone (704) 982-0950

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 18, 2023.

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1467006999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19830 ZION AVE",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318495",
            "telephone_number": "704-384-1782",
            "fax_number": "704-384-1783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1426 E Main St",
            "address_purpose": "LOCATION",
            "city": "Albemarle",
            "state": "NC",
            "postal_code": "280015236",
            "country_code": "US",
            "telephone_number": "704-982-0950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNGIN",
        "first_name": "RASHIDA",
        "middle_name": "ALIYA",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "F06192993",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

All providers in Cornelius, NC · Nurse Practitioner in North Carolina

Sources for this page

Verify at the official NPI Registry.