Individual provider Active NPI

Mercy Munoh

  • Home Health Registered Nurse
  • Brentwood, MD
National Provider Identifier
1598127904
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
HHA11897 Issued in DC
Practice address
3415 42ND Ave
Brentwood, MD 20722-1913
Phone
(240) 470-8021
NPI assigned
Mar 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X HHA11897 DC Primary

Addresses

Primary practice location

3415 42ND Ave
Brentwood, MD 20722-1913

Mailing address

3415 42ND Ave
Brentwood, MD 20722-1913
Phone (240) 470-8921

Other identifiers 1

IdentifierTypeStateIssuer
HHA11897OtherDCGOVERNMENT OF THE DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH, BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HHA11897DCMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1598127904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 42ND AVE",
            "city": "BRENTWOOD",
            "state": "MD",
            "postal_code": "207221913",
            "telephone_number": "240-470-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 42ND AVE",
            "city": "BRENTWOOD",
            "state": "MD",
            "postal_code": "207221913",
            "telephone_number": "240-470-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOH",
        "first_name": "MERCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "DC",
            "license": "HHA11897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOVERNMENT OF THE DISTRICT OF COLUMBIA DEPARTMENT OF HEALTH, BOARD OF NURSING",
            "identifier": "HHA11897",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.