Individual provider Active NPI

Erica Muniz, APRN

  • Family Nurse Practitioner
  • Wellington, FL
National Provider Identifier
1578236196
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11014359 Issued in FL
Practice address
12957 Palms West Dr Ste 204
Wellington, FL 33470-4932
Phone
(561) 303-2800
Fax
(561) 303-2801
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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 11014359 FL Primary

Addresses

Primary practice location

12957 Palms West Dr Ste 204
Wellington, FL 33470-4932

Mailing address

1315 SE Vestridge LN
Port Saint Lucie, FL 34952-7618
Phone (561) 827-4929

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
I20220817000757 FL Practitioner - Nurse Practitioner 4880077320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach Thyroid and Endocrinology Wellness LLCGroup PAC ID 1052536307, 4 clinicians

Practice addresses (Care Compare)

12957 Palms W Dr
Suite 204
Loxahatchee, FL 33470-4932
Phone (561) 303-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11014359FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Thyroid and Endocrinology Wellness, LLC CurrentSince May 5, 2022 Accepting new patients

Locations

12957 Palms West Dr
Ste 204
Wellington, FL 33470
Phone (561) 303-2800

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFDFCA

Organizations & group practices 1

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": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1578236196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 SE VESTRIDGE LN",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527618",
            "telephone_number": "561-827-4929",
            "fax_number": "561-303-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12957 PALMS WEST DR STE 204",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334704932",
            "telephone_number": "561-303-2800",
            "fax_number": "561-303-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIZ",
        "first_name": "ERICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11014359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.