Individual provider Active NPI

Rashida Aliya Mungin, NP-C

  • Nurse Practitioner
  • Cornelius, NC
National Provider Identifier
1467006999
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5012103 Issued in NC
Practice address
19830 Zion Ave
Cornelius, NC 28031-8495
Phone
(704) 384-1782
Fax
(704) 384-1783
NPI assigned
Aug 1, 2019
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 2

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20191204003135 NC Practitioner - Nurse Practitioner 1951734920 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
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, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06192993NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Apr 8, 2023 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. CurrentSince Dec 13, 2021 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Apr 8, 2023 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Apr 8, 2023 Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. Current Accepting new patients
First Care Medical Clinic CurrentSince Oct 2, 2019 Accepting new patients
First Care Medical Clinic CurrentSince Oct 2, 2019 Accepting new patients
First Care Medical Clinic, PA Current Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. CurrentSince Dec 13, 2021 Accepting new patients
Novant Medical Group, Inc. Past 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 7043841782 ext. 70438

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

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012103",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "F06192993",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

Verify at the official NPI Registry.