Active NPI
Deanne Carol Munroe, N.P.
- Primary Care Nurse Practitioner
- Whittier, CA
National Provider Identifier
1740329697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 95002191
- Practice address
- 12462 Putnam St
4TH Floor
Whittier, CA 90602-1048 - Phone
- (562) 698-0811
- Fax
- (562) 789-4468
- NPI assigned
- Feb 6, 2007
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 190745 | MA | |
| Primary Care Nurse Practitioner | 363LP2300X | 95002191 | CA | Primary |
Addresses
Primary practice location
12462 Putnam St
4TH Floor
Whittier, CA 90602-1048
Mailing address
1611 Birchcrest Cir
Brea, CA 92821-1813
Phone (562) 698-0811
Other names 1
- Deanne Carol Dalphond
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220503000660 | SC | Practitioner - Nurse Practitioner | 1658342332 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95002191 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fast Response Nurse Practitioners, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Gerontology Nurse Practitioner
- Lorain, OH
- NPI 1720530181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450310400000",
"number": "1740329697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 BIRCHCREST CIR",
"city": "BREA",
"state": "CA",
"postal_code": "928211813",
"telephone_number": "562-698-0811",
"fax_number": "562-789-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12462 PUTNAM ST",
"address_2": "4TH FLOOR",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906021048",
"telephone_number": "562-698-0811",
"fax_number": "562-789-4468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNROE",
"first_name": "DEANNE",
"middle_name": "CAROL",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2015-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "190745",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95002191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEANNE",
"last_name": "DALPHOND",
"middle_name": "CAROL",
"credential": "N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.