Individual provider Active NPI

Edwina Charlotte Munday-Keller, LMFT

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1801181623
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3191 Issued in NV
Practice address
3230 S Buffalo Dr Ste 101
Las Vegas, NV 89117-2506
Phone
(702) 410-9090
Fax
(888) 337-4551
NPI assigned
Jun 9, 2011
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3191 NV Primary
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

3230 S Buffalo Dr Ste 101
Las Vegas, NV 89117-2506

Mailing address

4572 Flaming Ridge TRL
Las Vegas, NV 89147-7925
Phone (702) 726-1828

Other practice location 1

2760 Lake Sahara Dr Ste 108
Las Vegas, NV 89117-3438
Phone (702) 222-0792

Other names 1

  • Ms. Edwina Charlotte Munday Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3191NVMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1801181623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4572 FLAMING RIDGE TRL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891477925",
            "telephone_number": "702-726-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 S BUFFALO DR STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172506",
            "telephone_number": "702-410-9090",
            "fax_number": "888-337-4551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2760 Lake Sahara Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891173438",
            "country_code": "US",
            "telephone_number": "702-222-0792",
            "fax_number": "702-222-9572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNDAY-KELLER",
        "first_name": "EDWINA",
        "middle_name": "CHARLOTTE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "3191",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWINA",
            "last_name": "MUNDAY",
            "middle_name": "CHARLOTTE",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.