Individual provider Active NPI

Kathryn Munday, APRN

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1770104630
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11004483 Issued in FL
Practice address
2215 Yaupon Dr
Tallahassee, FL 32303-3918
Phone
(850) 362-8031
NPI assigned
May 1, 2020
Last updated
May 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2020

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 11004483 FL Primary

Addresses

Primary practice location

2215 Yaupon Dr
Tallahassee, FL 32303-3918

Mailing address

2215 Yaupon Dr
Tallahassee, FL 32303-3918
Phone (850) 362-8031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200623003427 FL Practitioner - Nurse Practitioner 1456773290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athena Medical GroupGroup PAC ID 8921358706, 43 clinicians

Practice addresses (Care Compare)

7901 4TH St N
Suite 300
Saint Petersburg, FL 33702-4399
Phone (480) 712-8319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11004483FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athena Medical Group Family CurrentSince Aug 19, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Aug 11, 2020 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Aug 11, 2020 Accepting new patients

Locations

16515 S 40th St
Ste 143
Phoenix, AZ 85048
Phone (602) 615-0876

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (813) 575-1161

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

1607 Saint James Ct
Ste 2
Tallahassee, FL 32308
Phone (850) 878-8714

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1770104630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 YAUPON DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323033918",
            "telephone_number": "850-362-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 YAUPON DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323033918",
            "telephone_number": "850-362-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDAY",
        "first_name": "KATHRYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11004483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.