Individual provider Active NPI

Miranda Lemnue Muna

  • Psychiatric/Mental Health Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1861260101
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1140790 Issued in TX
Practice address
928 W Commerce St
San Antonio, TX 78207-4444
Phone
(210) 261-2427
NPI assigned
Dec 15, 2023
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1140790 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1140790 TX Primary

Addresses

Primary practice location

928 W Commerce St
San Antonio, TX 78207-4444

Mailing address

8950 Hubbard HL
San Antonio, TX 78254-6299
Phone (210) 638-0698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240910000502 TX Practitioner - Nurse Practitioner 5193265833 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ipc Pac Healthcare Services of Texas PLLCGroup PAC ID 1759676307, 42 clinicians

Practice addresses (Care Compare)

1215 Ashby St
Seguin, TX 78155-5101
Phone (830) 379-1606

1555 Bandera Hwy
Kerrville, TX 78028-9547
Phone (830) 412-2366

210 W Windcrest St
Fredericksburg, TX 78624-4408
Phone (830) 637-7885

3428 Moulton Rd
Gonzales, TX 78629-5303
Phone (830) 672-2867

4141 S Braeswood Blvd
Bayou Manor TX
Houston, TX 77025-3307
Phone (713) 666-2651

501 W Austin St
Luling, TX 78648-1741
Phone (830) 875-5628

999 Raintree Cir
Allen, TX 75013-4947
Phone (972) 390-8088

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Pac Healthcare Services of Texas PLLC CurrentSince Apr 30, 2025 Accepting new patients
CS Pacs 3 Southwest, LLC CurrentSince Apr 30, 2025 Accepting new patients
NV Pacs 2 LLC CurrentSince Apr 30, 2025 Accepting new patients
Bexar County Board of Trustees for Mental Health Mental Retardation PastSince Dec 17, 2023 Accepting new patients

Locations

999 Raintree Cir
Allen, TX 75013
Phone (972) 390-8088

201 Sycamore School Rd
#R
Fort Worth, TX 76134
Phone (817) 293-7610

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

6301 Oakmont Blvd
Ft Worth, TX 76132
Phone (682) 250-4055

415 Indian Oaks Dr
Harker Hts, TX 76548
Phone (254) 699-5051

721 W Mulberry St
Holiday Lakes, TX 77515
Phone (979) 848-0279

2101 W Northgate Dr
Irving, TX 75062
Phone (972) 255-4460

208 S Utah St
La Porte, TX 77571
Phone (281) 471-1810

811 Garner Rd
Pasadena, TX 77502
Phone (713) 473-8573

6211 S New Braunfels Ave
#T
San Antonio, TX 78223
Phone (210) 531-0569

424 Tarpey Rd
#C
Texas City, TX 77591
Phone (409) 938-8431

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1861260101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 HUBBARD HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782546299",
            "telephone_number": "210-638-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 W COMMERCE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782074444",
            "telephone_number": "210-261-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNA",
        "first_name": "MIRANDA",
        "middle_name": "LEMNUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-15",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "1140790",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1140790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.