Individual provider Active NPI

Cecilia Araceli Munoz, NP

  • Family Nurse Practitioner
  • Arizona City, AZ
National Provider Identifier
1699302612
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
239848 Issued in AZ
Practice address
13100 S Sunland Gin Rd Ste 3
Arizona City, AZ 85123-8659
Phone
(520) 719-0900
Fax
(833) 941-2431
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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 239848 AZ Primary

Addresses

Primary practice location

13100 S Sunland Gin Rd Ste 3
Arizona City, AZ 85123-8659

Mailing address

PO Box 4347
Arizona City, AZ 85123-2667
Phone (520) 208-5552

Other practice location 1

13825 S Durango Rd # 4347
Arizona City, AZ 85123-8332
Phone (520) 208-5552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20200501000357 AZ Practitioner - Nurse Practitioner 0446680607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13100 S Sunland Gin Rd
Suite 3
Arizona City, AZ 85123-8659
Phone (520) 719-0900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
239848AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile & Virtual Healthcare LLC Family CurrentSince Apr 3, 2020 Accepting new patients
Coolidge Pediatrics PastSince Mar 1, 2020 Accepting new patients
Bethesda Pediatrics of Queen Creek PastSince Mar 1, 2020 Accepting new patients

Locations

13100 S Sunland Gin Rd
Ste 3
Arizona City, AZ 85123
Phone (520) 719-0900

Interoperability endpoints

  • Direct secure messaging: cecilia.munoz.1@23297.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23297/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DEIGDD/Endpoint/DEIGDD

Organizations & group practices 3

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1699302612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4347",
            "city": "ARIZONA CITY",
            "state": "AZ",
            "postal_code": "851232667",
            "telephone_number": "520-208-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 S SUNLAND GIN RD STE 3",
            "city": "ARIZONA CITY",
            "state": "AZ",
            "postal_code": "851238659",
            "telephone_number": "520-719-0900",
            "fax_number": "833-941-2431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13825 S Durango Rd # 4347",
            "address_purpose": "LOCATION",
            "city": "Arizona City",
            "state": "AZ",
            "postal_code": "851238332",
            "country_code": "US",
            "telephone_number": "520-208-5552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "CECILIA",
        "middle_name": "ARACELI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "239848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arizona City, AZ

Sources for this page

Verify at the official NPI Registry.