Celeste Ashley Munoz

Individual provider Active NPI School Registered Nurse · Chaparral, NM

NPI 1699355479 · NPPES record last updated Apr 14, 2021

Key facts

NPI
1699355479
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
62616 (NM)
Practice address
290 E Lisa Dr
Chaparral, NM 88081-8020
Phone
(758) 882-1018
NPI assigned
Apr 14, 2021
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
62616NMMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gadsden Independent School District Past
since Apr 20, 2021
Accepting new patients
Gadsden Independent School District Past
since Apr 20, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 62616 NM Yes

Addresses

Primary practice location

290 E Lisa Dr
Chaparral, NM 88081-8020

Mailing address

PO Box 70
Anthony, NM 88021-0070
Phone (575) 618-7073

Other providers in Chaparral, NM

All providers in Chaparral, NM · School Registered Nurse in New Mexico

Sources for this page

Verify at the official NPI Registry.