Individual provider Active NPI

Kathleen Ann Munning, APN

  • Family Nurse Practitioner
  • Jasper, IN
National Provider Identifier
1467989533
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007314A Issued in IN
Practice address
1950 Saint Charles St Ste 4
Jasper, IN 47546-9172
Phone
(812) 482-9555
Fax
(812) 482-9073
NPI assigned
May 18, 2017
Last updated
Sep 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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 71007314A IN Primary

Addresses

Primary practice location

1950 Saint Charles St Ste 4
Jasper, IN 47546-9172

Mailing address

PO Box 1028
Jasper, IN 47547-1028
Phone (812) 996-8478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20170814001152 IN Practitioner - Nurse Practitioner 8224309018 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Deaconess Memorial Medical Center Inc Current Accepting new patients
Deaconess Memorial Medical Center Inc CurrentSince Aug 1, 2017 Accepting new patients
Deaconess Memorial Medical Center, Inc Current Accepting new patients

Locations

679 S State Road 145
French Lick, IN 47432
Phone (812) 481-7200

1950 Saint Charles St
Ste 4
Jasper, IN 47546
Phone (812) 482-9555

800 W 9th St
Jasper, IN 47546
Phone (812) 482-2345

105 Cooper St
Loogootee, IN 47553
Phone (812) 295-2812

1003 E Illinois St
Petersburg, IN 47567
Phone (812) 354-3458

Interoperability endpoints

  • Direct secure messaging: kmunning@mhhcc.gwaydirect.com

Organizations & group practices 5

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": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1467989533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1028",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475471028",
            "telephone_number": "812-996-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SAINT CHARLES ST STE 4",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475469172",
            "telephone_number": "812-482-9555",
            "fax_number": "812-482-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNNING",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-18",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007314A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.