Individual provider Active NPI

Allyson C Munson, ARNP

  • Family Nurse Practitioner
  • Enterprise, AL
National Provider Identifier
1912251166
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-141192 Issued in AL
Practice address
1018 Rucker Blvd Ste a
Enterprise, AL 36330-3688
Phone
(334) 347-4343
Fax
(334) 393-9611
NPI assigned
Nov 8, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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 1-141192 AL Primary

Addresses

Primary practice location

1018 Rucker Blvd Ste a
Enterprise, AL 36330-3688

Mailing address

1018 Rucker Blvd Ste a
Enterprise, AL 36330-3688
Phone (334) 347-4343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20141227000123 OR Practitioner - Nurse Practitioner 2264687243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

703 SE 1St Ave
Canby, OR 97013-3849
Phone (503) 266-7686

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-141192ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Canby Healthcare Clinic LLC CurrentSince Dec 4, 2014 Accepting new patients
Canby Healthcare Clinic LLC PastSince Dec 4, 2014 Accepting new patients

Locations

703 SE 1st Ave
Canby, OR 97013
Phone (503) 266-7686

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.

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": "1352332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1912251166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 RUCKER BLVD STE A",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363303688",
            "telephone_number": "334-347-4343",
            "fax_number": "334-393-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 RUCKER BLVD STE A",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363303688",
            "telephone_number": "334-347-4343",
            "fax_number": "334-393-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSON",
        "first_name": "ALLYSON",
        "middle_name": "C",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-08",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-141192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.