Active NPI
Stephanie Munoz Nhim, RN, BSN, FNP-BC
- Family Nurse Practitioner
- San Diego, CA
National Provider Identifier
1598371189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209021850
- Practice address
- 5930 Cornerstone CT W Ste 300
San Diego, CA 92121-3772 - Phone
- (858) 550-7107
- NPI assigned
- Sep 18, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041430477 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209021850 | IL | Primary |
Addresses
Primary practice location
5930 Cornerstone CT W Ste 300
San Diego, CA 92121-3772
Mailing address
4440 Capstan Dr
Hoffman Estates, IL 60192-1006
Phone (224) 238-9117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2923 N California Ave
Suite 210
Chicago, IL 60618-4677
Phone (773) 348-6876
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041430477 | IL | MD | Registered Nurse |
| 209021850 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Clinical Midwest, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
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- Des Plaines, IL
- NPI 1558773754
-
- Nurse Practitioner
- Merrillville, IN
- NPI 1619335700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734134400000",
"number": "1598371189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4440 CAPSTAN DR",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601921006",
"telephone_number": "224-238-9117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5930 CORNERSTONE CT W STE 300",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213772",
"telephone_number": "858-550-7107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NHIM",
"first_name": "STEPHANIE",
"middle_name": "MUNOZ",
"credential": "RN, BSN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-18",
"last_updated": "2024-12-14",
"certification_date": "2024-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041430477",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209021850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.