Individual provider Active NPI

Ashley Robinson Munn, APRN

  • Adult Health Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1669806493
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN 18460 Issued in SC
Practice address
460 Clemson Rd
Columbia, SC 29229-7925
Phone
(803) 438-3800
Fax
(803) 438-3898
NPI assigned
Aug 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN 18460 SC Primary

Addresses

Primary practice location

460 Clemson Rd
Columbia, SC 29229-7925

Mailing address

460 Clemson Rd
Columbia, SC 29229-7925
Phone (803) 438-3800

Other practice location 1

1 Wellness Blvd Ste 200
Irmo, SC 29063-2873
Phone (803) 749-1111

Other identifiers 1

IdentifierTypeStateIssuer
APN 18460OtherSCAPRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20131203001149 SC Practitioner - Nurse Practitioner 6305072901 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN 18460SCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kraemer Womens Care, LLC CurrentSince Nov 13, 2017 Accepting new patients

Locations

1333 Taylor St
Ste 2D
Columbia, SC 29201
Phone (803) 254-1300

114 Gateway Corporate Blvd
Ste 120
Columbia, SC 29203
Phone (803) 438-3800

700 Gervais St
Ste 125
Columbia, SC 29201

3221 Sunset Blvd
Ste A
West Columbia, SC 29169
Phone (803) 798-7660

Interoperability endpoints

  • Direct secure messaging: amunn609982@direct.ghs.myhfn.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1669806493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 CLEMSON RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297925",
            "telephone_number": "803-438-3800",
            "fax_number": "803-438-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 CLEMSON RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292297925",
            "telephone_number": "803-438-3800",
            "fax_number": "803-438-3898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Wellness Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290632873",
            "country_code": "US",
            "telephone_number": "803-749-1111",
            "fax_number": "803-749-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNN",
        "first_name": "ASHLEY",
        "middle_name": "ROBINSON",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "APN 18460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "APN 18460",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.