Individual provider Active NPI

Angela Paulette Muniz, MSN-FNP

  • Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1952896995
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
803940 Issued in TX
Practice address
723 N Taylor St Ste B
Amarillo, TX 79107-5279
Phone
(806) 345-7917
Fax
(806) 322-2485
NPI assigned
Jun 22, 2018
Last updated
Apr 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 803940 TX Primary

Addresses

Primary practice location

723 N Taylor St Ste B
Amarillo, TX 79107-5279

Mailing address

3113 Ross St
Amarillo, TX 79103
Phone (806) 374-7341

Other practice location 1

125 W Park Ave
Hereford, TX 79045-4201
Phone (806) 364-7688 ext. 2064

Other practice location 2

2601 Dimmitt Rd # 104
Plainview, TX 79072-1833
Phone (806) 291-0297 ext. 2064

Other practice location 3

3113 Ross St
Amarillo, TX 79103
Phone (806) 374-7341 ext. 2064

Other identifiers 1

IdentifierTypeStateIssuer
AP135467OtherTXTEXAS BOARD OF NURSING

Other names 1

  • Angela Paulette Ibarra Former name

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
I20200413003792 TX Practitioner - Nurse Practitioner 1658701784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regence Health Network IncGroup PAC ID 5698682557, 24 clinicians

Practice addresses (Care Compare)

3113 Ross St
Amarillo, TX 79103-2700
Phone (806) 374-7341

713 N Taylor St
Amarillo, TX 79107-5279
Phone (806) 345-7917

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
803940TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regence Health Network Inc CurrentSince Jan 3, 2020 Accepting new patients
Regence Health Network Inc Current Accepting new patients
Regence Health Network Inc CurrentSince Jan 3, 2020 Accepting new patients
Regence Health Network Inc PastSince Apr 5, 2020 Accepting new patients

Locations

3113 Ross St
Amarillo, TX 79103
Phone (806) 374-7341

713 N Taylor St
Amarillo, TX 79107
Phone (806) 331-2962

723 N Taylor St
Ste B
Amarillo, TX 79107
Phone (806) 345-7917

125 W Park Ave
Hereford, TX 79045
Phone (806) 364-4377

2601 Dimmitt Rd
#104
Plainview, TX 79072
Phone (806) 291-0297

Interoperability endpoints

  • Direct secure messaging: angela.muniz.1@12120.direct.athenahealth.com

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": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1952896995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 ROSS ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79103",
            "telephone_number": "806-374-7341",
            "fax_number": "806-322-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 N TAYLOR ST STE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791075279",
            "telephone_number": "806-345-7917",
            "fax_number": "806-322-2485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 W Park Ave",
            "address_purpose": "LOCATION",
            "city": "Hereford",
            "state": "TX",
            "postal_code": "790454201",
            "country_code": "US",
            "telephone_number": "806-364-7688 x2064",
            "fax_number": "806-322-2485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Dimmitt Rd # 104",
            "address_purpose": "LOCATION",
            "city": "Plainview",
            "state": "TX",
            "postal_code": "790721833",
            "country_code": "US",
            "telephone_number": "806-291-0297 x2064",
            "fax_number": "806-322-2485",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3113 Ross St",
            "address_purpose": "LOCATION",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79103",
            "country_code": "US",
            "telephone_number": "806-374-7341 x2064",
            "fax_number": "806-322-2485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNIZ",
        "first_name": "ANGELA",
        "middle_name": "PAULETTE",
        "name_prefix": "Mrs.",
        "credential": "MSN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "803940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "AP135467",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "IBARRA",
            "middle_name": "PAULETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.