Active NPI
Sierra Munoz
- Social Worker
- Fort Pierce,, FL
National Provider Identifier
1669749412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2200 Colonial Rd
Fort Pierce,, FL 34951 - Phone
- (772) 489-4726
- NPI assigned
- Nov 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | FL | ||
| Social Worker | 104100000X | FL | Primary |
Addresses
Primary practice location
2200 Colonial Rd
Fort Pierce,, FL 34951
Mailing address
2222 Colonial Rd Ste 100
Fort Pierce, FL 34950-5309
Phone (772) 489-4726
Other practice location 1
7202 Donlon Rd
Fort Pierce, FL 34951-1872
Phone (727) 201-1811
Other practice location 2
10570 S Federal Hwy
Suite 200
Port St Lucie, FL 34952-5606
Phone (772) 380-9972
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1669749412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 COLONIAL RD STE 100",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349505309",
"telephone_number": "772-489-4726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 COLONIAL RD",
"city": "FORT PIERCE,",
"state": "FL",
"postal_code": "34951",
"telephone_number": "772-489-4726"
}
],
"practiceLocations": [
{
"address_1": "7202 Donlon Rd",
"address_purpose": "LOCATION",
"city": "Fort Pierce",
"state": "FL",
"postal_code": "349511872",
"country_code": "US",
"telephone_number": "727-201-1811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10570 S Federal Hwy",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Port St Lucie",
"state": "FL",
"postal_code": "349525606",
"country_code": "US",
"telephone_number": "772-380-9972",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUNOZ",
"first_name": "SIERRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-22",
"last_updated": "2022-07-26",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce,, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.